PATRICK ST.JOHN (PA) – Physician Assistant, NPI 1558140988

PATRICK ST.JOHN (PA) is a healthcare provider. based in Mobile, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for PATRICK ST.JOHN (PA) is 1558140988

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK ST.JOHN (PA)
NPI
1558140988
Phone
Not provided
Address
307 N UNIVERSITY BLVD
Enumeration Date
25 September 2023
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2516330123
Graduation Year
2023 (3 years ago)
PAC ID
9335588847
Group Practice PAC ID
1456429281
Professional Enrollment ID
I20240417001209
Address ID
AL365755409SE7943XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,202 PHYSICIAN ASSISTANT in AL

Provider Addresses for PATRICK ST.JOHN (PA)

  • 307 N UNIVERSITY BLVD

    MOBILE, AL 366883053

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240417001209IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36688)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456429281View full group profile
NameSpecialtyState
Internal MedicineAL
Internal MedicineAL
Internal MedicineAL
-AL
-AL
Physician AssistantLA
-AL
Physician AssistantAL
Physician AssistantAL
Physician AssistantAL

Reviews

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Frequently asked questions

Does PATRICK ST.JOHN (PA) have a public NPI I can cite?
Public records show PATRICK ST.JOHN (PA) under NPI 1558140988.
Quick check: is PATRICK ST.JOHN (PA) active?
Public NPPES data shows PATRICK ST.JOHN (PA) with an active NPI status right now.
What services align with PATRICK ST.JOHN (PA)'s listing?
PATRICK ST.JOHN (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to PATRICK ST.JOHN (PA)?
The directory associates PATRICK ST.JOHN (PA) with Mobile, Alabama. Check all listed addresses for suites or satellite offices.
Can I export PATRICK ST.JOHN (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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