JACOB ANDREW WHITE PA-C
NPI 1013881176
Physician Assistant in Osage Beach, MO

Active since October 01, 2025PECOS EnrolledAccepts Medicare Assignment
54 HOSPITAL DR, OSAGE BEACH, MO 65065(660) 888-2238 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Andrew White Pa-c NPPES

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

JACOB ANDREW WHITE PA-C (NPI 1013881176) is an individual physician assistant in Osage Beach, Missouri and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Lake Regional Health System, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013881176
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB ANDREW WHITECredential: PA-C
Location Address54 HOSPITAL DROsage Beach, MO 65065-3050
Mailing Address5502 Prairie Creek DrColumbia, MO 65203-8463
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 1, 2025
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
NPI 1013881176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
54 HOSPITAL DR, Osage Beach, MO 65065

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

Jacob Andrew White Pa-c 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 ID2466932397
PECOS Enrollment IDI20260218002234
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

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

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65065 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Clinical Exercise Physiologist
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Specialist
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Internal Medicine (Pulmonary Disease)
54 HOSPITAL DR, SUITE 205
OSAGE BEACH, MO 65065
Physical Therapist (Hand)
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Dietitian, Registered
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Nurse Anesthetist, Certified Registered
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Pharmacist
54 HOSPITAL DR
OSAGE BEACH, MO 65065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob White's NPI number?

The NPI number for Jacob White is 1013881176. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Jacob White located?

Jacob White practices at 54 Hospital Dr, Osage Beach, MO 65065. The listed phone number is (660) 888-2238.

What is Jacob White's specialty?

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

Is Jacob White enrolled in Medicare?

Yes. Jacob White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob White affiliated with any hospitals?

According to CMS data, Jacob White is affiliated with Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Jacob White was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.