JACLYN L MIS PAC
NPI 1073899548
Physician Assistant in Tinley Park, IL

Active since October 28, 2011PECOS EnrolledAccepts Medicare Assignment
17495 LA GRANGE RD, TINLEY PARK, IL 60487(815) 416-6641 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaclyn L Mis Pac NPPES

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

JACLYN L MIS PAC (NPI 1073899548) is an individual physician assistant in Tinley Park, Illinois, licensed in Illinois (085004190) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains a secondary practice location in Blue Island.

NPPES Registry Identity

NPI1073899548
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN L MISCredential: PAC
Location Address17495 LA GRANGE RDTinley Park, IL 60487-7581
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200 · Fax (708) 388-5672
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 28, 2011
Last NPPES UpdateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
NPI 1073899548 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 · 085004190
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.

17495 LA GRANGE RD, Tinley Park, IL 60487

Other Names 1

Former Name (1)Jaclyn L Crowe

Secondary Practice Location 1

Location 12320 High StBlue Island, IL 60406-2426 · Phone (708) 388-5500 · Fax (708) 388-5672

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

Jaclyn L Mis Pac 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 ID2860667326
PECOS Enrollment IDI20111212000370
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services30 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
29 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
20 services20 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60487 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Social Worker (Clinical)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Radiology (Diagnostic Radiology)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Nurse Practitioner
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Nurse Practitioner (Family)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Emergency Medicine
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Radiology (Diagnostic Radiology)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Internal Medicine (Nephrology)
17495 LA GRANGE RD
TINLEY PARK, IL 60487

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 Jaclyn Mis's NPI number?

The NPI number for Jaclyn Mis is 1073899548. It was assigned to this individual provider in the NPPES registry on October 28, 2011. The provider is also known as Jaclyn L Crowe.

Where is Jaclyn Mis located?

Jaclyn Mis practices at 17495 La Grange Rd, Tinley Park, IL 60487. The listed phone number is (815) 416-6641.

What is Jaclyn Mis's specialty?

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

Is Jaclyn Mis enrolled in Medicare?

Yes. Jaclyn Mis 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 Jaclyn Mis affiliated with any hospitals?

According to CMS data, Jaclyn Mis is affiliated with Palos Community Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Mis was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.