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MR. JACOB PATRICK WACKER MMSC, PA-C
NPI 1548113376
Physician Assistant in Chesterfield, MO

Active since February 19, 2026
1001 CHESTERFIELD PKWY E STE 201, CHESTERFIELD, MO 63017(636) 532-2422 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Jacob Patrick Wacker Mmsc, Pa-c NPPES

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

MR. JACOB PATRICK WACKER MMSC, PA-C (NPI 1548113376) is an individual physician assistant in Chesterfield, Missouri, licensed in Missouri (2026007576) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1548113376
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JACOB PATRICK WACKERCredential: MMSC, PA-C
Location Address1001 CHESTERFIELD PKWY E STE 201Chesterfield, MO 63017-2167
Mailing Address100 Church St SNew Haven, CT 06519-1703
Phone(636) 532-2422
Sole ProprietorNo
Enumeration DateFebruary 19, 2026
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1548113376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MO · 2026007576✔ Licensed in IL · 085.012208
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.
1001 CHESTERFIELD PKWY E STE 201, Chesterfield, MO 63017
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Other Providers at the Same Location NPPES 2

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

LAURA XIANLU BAKER MD
Dermatology
1001 CHESTERFIELD PKWY E STE 201
CHESTERFIELD, MO 63017
St. Louis County (636) 532-2422
GINA MARIE INDELICATO NP-C
Nurse Practitioner (Family)
1001 CHESTERFIELD PKWY E STE 201
CHESTERFIELD, MO 63017
St. Louis County (636) 532-2422

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 Jacob Wacker's NPI number?

The NPI number for Jacob Wacker is 1548113376. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Jacob Wacker located?

Jacob Wacker practices at 1001 Chesterfield Pkwy E Ste 201, Chesterfield, MO 63017. The listed phone number is (636) 532-2422.

What is Jacob Wacker's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Wacker was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.