JILL AUSTIN (PAC) – Physician Assistant, NPI 1770577603
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,854 PHYSICIAN ASSISTANT in MO
Provider Addresses for JILL AUSTIN (PAC)
2400 S AVENUE A
YUMA, AZ 853647127
Phone: (928) 344-2000
Type: Mailing
1235 E Cherokee St
Springfield, MO 658042203
Phone: (417) 820-3911
Type: Location
2460 S PARKVIEW LOOP STE 203
YUMA, AZ 853645358
Phone: (928) 336-2619
Type: Location
Flagstaff Medical Center, 1200, North Beaver Street, Hospital Hill, Flagstaff, Coconino County, Arizona, 86001, United States
PAYER CREDENTIALING
FLAGSTAFF, AZ 860013118
Phone: (928) 773-2559
Fax: (928) 213-6292
Type: Mailing
Flagstaff Medical Center: Children's Health Center, 1215, North Beaver Street, Hospital Hill, Flagstaff, Coconino County, Arizona, 86001, United States
FLAGSTAFF, AZ 860013126
Phone: (928) 773-2200
Fax: (928) 773-2474
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $317.
Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($174).
Total Amount
$317
General + Research + Ownership
Payments
17
Total payment records
General Amount
$317
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $174 |
| Actelion Pharmaceuticals US, Inc. | $125 |
| GlaxoSmithKline, LLC. | $17 |
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: 2025-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040902000678 | I | Physician Assistant | AZ | TBD |
| I20230214000249 | I | Physician Assistant | IN | TBD |
| I20240306001478 | I | Physician Assistant | WA | TBD |
| I20250219003018 | I | Physician Assistant | MO | TBD |
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.
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 85364)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AZ | 33533 | Heart artery bypass to repair one artery | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists) | WI | |
| Internal Medicine | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| - | AZ | |
| General Surgery | AZ | |
| Vascular Surgery | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Certified Nurse Midwife (Cnm) | AZ | |
| Cardiac Surgery, Thoracic Surgery | AZ | |
| Cardiovascular Disease (Cardiology) | AZ |
Reviews
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