ABBY MARIE MEDFORD PA-C
NPI 1114759255
Physician Assistant in Jerseyville, IL

Q: What is Abby Medford's NPI number?

The NPI number for Abby Medford is 1114759255. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Q: What is Abby Medford'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 Abby Medford was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 16, 2024PECOS EnrolledAccepts Medicare Assignment

390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052(618) 498-2101(618) 498-8153 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2026, Nov 13, 2024, Aug 16, 2024 (3 updates tracked since 2024).

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About Abby Marie Medford Pa-c NPPES

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

ABBY MARIE MEDFORD PA-C (NPI 1114759255) is an individual physician assistant in Jerseyville, Illinois, licensed in Illinois (085010750) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Jersey Community Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1114759255

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameABBY MARIE MEDFORDCredential: PA-C

Location Address390 MAPLE SUMMIT RDJerseyville, IL 62052-2000

Mailing Address390 Maple Summit RdJerseyville, IL 62052-2000 · (618) 498-7518 · Fax (618) 498-3052

Phone(618) 498-2101

Fax(618) 498-8153

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 16, 2024

Last NPPES UpdateMarch 10, 20263 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1114759255 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 · 085010750

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.

390 MAPLE SUMMIT RD, Jerseyville, IL 62052

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Secondary Practice Locations 6

Location 1414 S State StRoodhouse, IL 62082-1544 · Phone (217) 589-4383 · Fax (217) 589-4409

Location 2523 S Main StCarrollton, IL 62016-1256 · Phone (217) 942-3326 · Fax (217) 942-9833

Location 3903 S State StJerseyville, IL 62052-2344 · Phone (618) 639-9255 · Fax (618) 639-8100

Location 4220 E County RdJerseyville, IL 62052-3125 · Phone (618) 498-8467 · Fax (618) 639-2017

Location 5270 Maple Summit RdJerseyville, IL 62052-2004 · Phone (618) 498-7108 · Fax (618) 498-7919

Location 62 MyrtleHardin, IL 62047-1002 · Phone (618) 576-9407 · Fax (618) 576-2260

Other Identifiers 5

Other085010750IL · Il State License - Pa

Other16340134IL · Caqh Id

Other1134163827IL · Group Npi - Jch Medical Group

Other1811392970IL · Rural Health Clinic Npi

Other1219129IL · Nccpa Id

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

Abby Marie Medford 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 ID7719413772

PECOS Enrollment IDI20241213001482

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.

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140059

Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62052 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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 15

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

MS. VICTORIA A HARGRAVE FNP-BC

Nurse Practitioner (Psychiatric/Mental Health)