MS. COURTNEY M JAEGLE PA
NPI 1013196682
Physician Assistant in Peoria, IL

Q: What is Courtney Jaegle's NPI number?

The NPI number for Courtney Jaegle is 1013196682. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Q: What is Courtney Jaegle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Jaegle was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 30, 2007PECOS EnrolledAccepts Medicare Assignment

112 NE CRESCENT AVE, PEORIA, IL 61606(309) 672-4670(309) 672-4669 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Courtney M Jaegle Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. COURTNEY M JAEGLE PA (NPI 1013196682) is an individual physician assistant in Peoria, Illinois, licensed in Illinois (0085003098) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Pekin Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1013196682

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. COURTNEY M JAEGLECredential: PA

Location Address112 NE CRESCENT AVEPeoria, IL 61606-1901

Mailing Address112 Ne Crescent AvePeoria, IL 61606-1901 · (309) 672-4670 · Fax (815) 741-6303

Phone(309) 672-4670

Fax(309) 672-4669

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateOctober 30, 2007

Last NPPES UpdateSeptember 28, 2020

NPPES CertifiedSeptember 28, 2020

✔ NPI 1013196682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 0085003098

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

112 NE CRESCENT AVE, Peoria, IL 61606

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Other Identifiers 2

Medicaid085003098IL

Other085003098IL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Courtney M Jaegle Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476606500

PECOS Enrollment IDI20090806000386

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140120

Location600 South 13th StreetPekin, IL 61554 · Tazewell County

Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606

DME-Other DME · category DE013N

1 supplier12 claims12 services$2,369.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LIONEL JUNIOR MALEBRANCHE M.D.

Internal Medicine (Cardiovascular Disease)