PROF. JAMES KYLE JACK PA-C
NPI 1205069234
Physician Assistant in Chico, CA
About Prof. James Kyle Jack Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROF. JAMES KYLE JACK PA-C (NPI 1205069234) is an individual physician assistant in Chico, California and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Prof. James Kyle Jack 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95928 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICO, CA 95928
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 James Jack's NPI number?
The NPI number for James Jack is 1205069234. It was assigned to this individual provider in the NPPES registry on August 25, 2009. The provider is also known as Prof. Kyle Jack Pa-C.
Where is James Jack located?
James Jack practices at 1555 Springfield Dr, Chico, CA 95928. The listed phone number is (530) 433-9633.
What is James Jack's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is James Jack enrolled in Medicare?
Yes. James Jack 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.
When was this NPI record last updated?
The NPPES record for James Jack was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Prof. James Kyle Jack, PA-C · NPI 1205069234
Physician Assistant physician in Chico, California. Individual provider, active in the CMS NPPES registry since August 25, 2009.
## Identity
- **NPI:** 1205069234 (Entity type: Individual)
- **Enumerated:** August 25, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1555 SPRINGFIELD DR, Chico, CA 95928-6398
- **Phone:** (530) 433-9633 · **Fax:** (530) 433-9634
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 29, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1205069234) · Data from the CMS NPPES public registry.