MIKE STAFF PA
NPI 1326104290
Physician Assistant in Carbondale, IL

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 549-5128 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mike Staff Pa NPPES

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

MIKE STAFF PA (NPI 1326104290) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085-000618) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Marshall Browning Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1326104290
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMIKE STAFFCredential: PA
Location Address2601 W MAIN STCarbondale, IL 62901-1031
Mailing AddressPo Box 1105Indianapolis, IN 46206-1105 · (618) 549-5361 · Fax (618) 549-5128
Fax(618) 549-5128
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 11, 2011
NPI 1326104290 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 · 085-000618
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.
2601 W MAIN ST, Carbondale, IL 62901

Other Identifiers 7

Medicare UPINS90137IL
Medicare PINK45740IL
Medicare PIN214881IL
Other3932056IL · Bcbs Of Il
Other7210895IL · Aetna
Medicare OSCAR/certification143821IL
Other028748IL · Hamp

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

Mike Staff Pa 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 ID5890692685
PECOS Enrollment IDI20031218000721
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.

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141331
Location900 North Washington StreetDu Quoin, IL 62832 · Perry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Internal Medicine (Gastroenterology)
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Ambulatory Surgical)
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Multi-Specialty)
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner (Psychiatric/Mental Health)
2601 W MAIN ST
CARBONDALE, IL 62901

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 Mike Staff's NPI number?

The NPI number for Mike Staff is 1326104290. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Mike Staff located?

Mike Staff practices at 2601 W Main St, Carbondale, IL 62901. The listed phone number is (618) 549-5361.

What is Mike Staff's specialty?

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

Is Mike Staff enrolled in Medicare?

Yes. Mike Staff 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 Mike Staff affiliated with any hospitals?

According to CMS data, Mike Staff is affiliated with Marshall Browning Hospital.

When was this NPI record last updated?

The NPPES record for Mike Staff was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.