JACALYN C SIVER (P.A.-C) – Physician Assistant, NPI 1013912609

JACALYN C SIVER (P.A.-C) is a healthcare provider. based in Lake jackson, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. 359 (SD). The NPI Number for JACALYN C SIVER (P.A.-C) is 1013912609

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JACALYN C SIVER (P.A.-C)
NPI
1013912609
Phone
(361) 484-6243
Address
633 WALNUT ST
Enumeration Date
20 June 2005
Last Update Date
21 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9792974033
Graduation Year
1996 (30 years ago)
PAC ID
1355570805
Group Practice PAC ID
1951623222
Professional Enrollment ID
I20140204001364
Address ID
TX775665675LA219XXSXXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for JACALYN C SIVER (P.A.-C)

  • 633, Walnut Street, Vergennes, Jackson County, Illinois, 62994, United States

    LAKE JACKSON, TX 775665747

    Phone: (361) 484-6243

    Type: Mailing

  • 219 OAK DR S STE A

    LAKE JACKSON, TX 775665675

    Phone: (979) 297-4033

    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.

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: 2014-02-04

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
I20140204001364IPhysician AssistantTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes212148$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 77566)

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Reviews

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Frequently asked questions

Can I verify JACALYN C SIVER (P.A.-C) with an NPI only?
You can start verification with NPI 1013912609 for JACALYN C SIVER (P.A.-C), then check state licensing separately.
Can I rely on JACALYN C SIVER (P.A.-C) being an active provider?
As of the registry snapshot, JACALYN C SIVER (P.A.-C) is marked active.
What taxonomy line describes JACALYN C SIVER (P.A.-C)?
For research purposes, treat JACALYN C SIVER (P.A.-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JACALYN C SIVER (P.A.-C) on a map?
Expect Lake Jackson, Texas as a primary anchor for JACALYN C SIVER (P.A.-C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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