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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE VICTORIA DUGAN PA-C
NPI 1063124956
Physician Assistant in Ava, MO

Active since December 22, 2022PECOS Enrolled
120 W LINCOLN AVE, AVA, MO 65608(417) 683-6790(417) 683-6770 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Victoria Dugan Pa-c NPPES

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

JACQUELINE VICTORIA DUGAN PA-C (NPI 1063124956) is an individual physician assistant in Ava, Missouri, licensed in Missouri (2024042522) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063124956
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE VICTORIA DUGANCredential: PA-C
Location Address120 W LINCOLN AVEAva, MO 65608-5567
Mailing Address1674 Folly Rd Apt 108Charleston, SC 29412-8701 · (417) 299-3550
Phone(417) 683-6790
Fax(417) 683-6770
Sole ProprietorNo
Enumeration DateDecember 22, 2022
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1063124956 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 MO · 2024042522
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.
120 W LINCOLN AVE, Ava, MO 65608
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Victoria Dugan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65608 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 3

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

APRIL DAWN KIMBALL FNP
Nurse Practitioner (Family)
120 W LINCOLN AVE
AVA, MO 65608
Douglas County (417) 683-6790
SARA KENTNER FNP-C
Nurse Practitioner (Family)
120 W LINCOLN AVE
AVA, MO 65608
Douglas County (417) 683-6790
REBECCA L JOHNSON APN
Nurse Practitioner (Family)
120 W LINCOLN AVE
AVA, MO 65608
Douglas County (417) 683-6790

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 Jacqueline Dugan's NPI number?

The NPI number for Jacqueline Dugan is 1063124956. It was assigned to this individual provider in the NPPES registry on December 22, 2022.

Where is Jacqueline Dugan located?

Jacqueline Dugan practices at 120 W Lincoln Ave, Ava, MO 65608. The listed phone number is (417) 683-6790.

What is Jacqueline Dugan's specialty?

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

Is Jacqueline Dugan enrolled in Medicare?

Yes. Jacqueline Dugan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Dugan was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.