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JACYLYN DENISE WAHL MPAS, PA-C
NPI 1245715309
Physician Assistant in Libertyville, IL

Active since September 25, 2018PECOS Enrolled
150 E COOK AVE STE 100, LIBERTYVILLE, IL 60048(847) 232-3342 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2021, Apr 2, 2020, Oct 24, 2019 and 2 more (5 updates tracked since 2018).

About Jacylyn Denise Wahl Mpas, Pa-c NPPES

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

JACYLYN DENISE WAHL MPAS, PA-C (NPI 1245715309) is an individual physician assistant in Libertyville, Illinois, licensed in Wisconsin (4815) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245715309
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACYLYN DENISE WAHLCredential: MPAS, PA-C
Location Address150 E COOK AVE STE 100Libertyville, IL 60048-2060
Mailing Address150 E Cook Ave Ste 100Libertyville, IL 60048-2060 · (847) 232-3342
Phone(847) 232-3342
Sole ProprietorNo
Enumeration DateSeptember 25, 2018
Last NPPES UpdateJanuary 27, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1245715309 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 WI · 4815
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.
150 E COOK AVE STE 100, Libertyville, IL 60048
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11650 Cochrane CirFort Carson, CO 80913-4613 · Phone (719) 526-7000
Location 212970 W Bluemound Rd Ste 200Elm Grove, WI 53122-2607 · Phone (262) 780-1020 · Fax (262) 780-1022

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacylyn Denise Wahl Mpas, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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

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

TRACY VAZQUEZ
Social Worker (Clinical)
150 E COOK AVE STE 100
LIBERTYVILLE, IL 60048
Lake County (847) 816-3556

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 Jacylyn Wahl's NPI number?

The NPI number for Jacylyn Wahl is 1245715309. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Jacylyn Wahl located?

Jacylyn Wahl practices at 150 E Cook Ave Ste 100, Libertyville, IL 60048. The listed phone number is (847) 232-3342.

What is Jacylyn Wahl's specialty?

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

Is Jacylyn Wahl enrolled in Medicare?

Yes. Jacylyn Wahl is registered in the Medicare PECOS enrollment system.

What insurance does Jacylyn Wahl accept?

Health plans from Medica, Providence Health Plan and UnitedHealthcare list Jacylyn Wahl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacylyn Wahl was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.