MR. JASON D CHURCHILL (PA) – Medical Physician Assistant, NPI 1265592455

Medical Physician Assistant

MR. JASON D CHURCHILL (PA) is a healthcare provider. based in Herrin, Illinois. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. 2006030653 (MO). The NPI Number for MR. JASON D CHURCHILL (PA) is 1265592455

Main info

Male

20 Years Of Experience

Accepts Medicare Assignment

Name

MR. JASON D CHURCHILL (PA)

NPI

1265592455

Phone

(618) 997-4310

Address

510 Lincoln Dr

Enumeration Date

11 December 2006

Last Update Date

14 February 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6182733361376

Graduation Year

2006 (20 years ago)

PAC ID

5991807687

Group Practice PAC ID

1355389453

Professional Enrollment ID

I20111007000635

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MR. JASON D CHURCHILL (PA)

510 Lincoln Dr
Herrin, IL 629486334
Phone: (618) 997-4310
Fax: (618) 998-9635
Type: Location
Lincoln Drive, Herrin, Williamson County, Illinois, 62948, United States
HERRIN, IL 629486334
Phone: (618) 997-4310
Fax: (618) 998-9635
Type: Mailing
1306, Maple Street, Eldorado, Saline County, Illinois, 62930, United States
ELDORADO, IL 629301662
Phone: (618) 273-3361
Fax: (618) 273-2504
Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 62948)

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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: 1355389453View full group profile

Name	Specialty	State
MAQBOOL A AHMED (M.D.)	Hematology/Oncology, Internal Medicine	IN
MRS. CHRISTINE LUCILLE RABEN (LCSW)	Clinical Social Worker	IL
GRETCHEN L SUTTON (P.A.)	Physician Assistant	IL
SUSAN E SIGLER (FNP)	Nurse Practitioner	IL
MS. LESLIE ANN FERRELL (FNP)	Nurse Practitioner	IL
WILLIAM MICHAEL MESZAROS (M.D.)	Orthopedic Surgery	AZ
DR. DAVID A GUNZEL (D.P.M.)	P O D I A T R Y	IL
DR. WILLIAM JOSEPH BOSE (MD)	Orthopedic Surgery	AL
AMY M MCCORD (FNP)	Nurse Practitioner	IL
CASEY L CARLILE (FNP)	Nurse Practitioner	IL

Reviews

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Frequently asked questions

Can I verify MR. JASON D CHURCHILL (PA) with an NPI only?

You can start verification with NPI 1265592455 for MR. JASON D CHURCHILL (PA), then check state licensing separately.

Can I rely on MR. JASON D CHURCHILL (PA) being an active provider?

As of the registry snapshot, MR. JASON D CHURCHILL (PA) is marked active.

What healthcare role does MR. JASON D CHURCHILL (PA) hold?

Scheduling teams often label MR. JASON D CHURCHILL (PA) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

What area does MR. JASON D CHURCHILL (PA) serve?

MR. JASON D CHURCHILL (PA)'s listing highlights Herrin, Illinois; more addresses can appear in NPPES.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.