JASON MITCHELL LITTLE (AGAC-NP) – Acute Care Nurse Practitioner, NPI 1255835237

JASON MITCHELL LITTLE (AGAC-NP) is a healthcare provider. based in Quincy, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials AGAC-NP. They hold a License No. 209.017352 (IL). The NPI Number for JASON MITCHELL LITTLE (AGAC-NP) is 1255835237

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JASON MITCHELL LITTLE (AGAC-NP)
NPI
1255835237
Phone
(217) 430-0909
Address
1005 BROADWAY ST
Enumeration Date
22 March 2018
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172238400
Graduation Year
2017 (9 years ago)
PAC ID
7810243136
Group Practice PAC ID
3072422534
Professional Enrollment ID
I20180628002481
Address ID
IL623012834QU1005XSTXX300

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for JASON MITCHELL LITTLE (AGAC-NP)

  • 1005, Broadway Street, Quincy, Adams County, Illinois, 62301, United States

    QUINCY, IL 623012834

    Phone: (217) 430-0909

    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: 2018-06-28

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
I20180628002481INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician132132$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12870$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5250$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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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: 3072422534View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
N E U R O L O G YMI
Radiation OncologyIL
Nurse PractitionerIL
Nurse PractitionerIL
Pain Management, AnesthesiologyIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

Is there an official ID for JASON MITCHELL LITTLE (AGAC-NP) in U.S. healthcare records?
The official identifier for JASON MITCHELL LITTLE (AGAC-NP) is NPI 1255835237.
Would JASON MITCHELL LITTLE (AGAC-NP) appear as active to a payer?
You can treat JASON MITCHELL LITTLE (AGAC-NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JASON MITCHELL LITTLE (AGAC-NP)?
At a glance, JASON MITCHELL LITTLE (AGAC-NP) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JASON MITCHELL LITTLE (AGAC-NP) located near Quincy?
JASON MITCHELL LITTLE (AGAC-NP) currently maps to Quincy, Illinois in this extract.
Can I trust this NPI listing for JASON MITCHELL LITTLE (AGAC-NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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