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JILL C PEASE PHYSICIAN ASSISTANT
NPI 1619951126
Physician Assistant in Lafayette, IN

Active since November 30, 2005
3554 PROMENADE PKWY, SUITE H, LAFAYETTE, IN 47909(765) 471-1100 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill C Pease Physician Assistant NPPES

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

JILL C PEASE PHYSICIAN ASSISTANT (NPI 1619951126) is an individual physician assistant in Lafayette, Indiana, licensed in Indiana (10000824A) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1619951126
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJILL C PEASECredential: PHYSICIAN ASSISTANT
Location Address3554 PROMENADE PKWY, SUITE HLafayette, IN 47909-8417
Mailing Address3554 Promenade Pkwy, Suite HLafayette, IN 47909-8417 · (765) 471-1100
Phone(765) 471-1100
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateJune 16, 2015
✔ NPI 1619951126 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 IN · 10000824A
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.
3554 PROMENADE PKWY, Lafayette, IN 47909
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Other Names 1

Former Name (1)Jill C Buckles Physician Assistant

Other Identifiers 3

Other000000540149IN · Anthem Provider Number
Medicare PIN815460NNNNIN
Medicare PINP00439685IN

Other Providers at the Same Location NPPES 7

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

DR. DAGMARA VENTRESCA DDS
Dentist
3554 PROMENADE PKWY, SUITE D
LAFAYETTE, IN 47909
Tippecanoe County (765) 838-3550
JOHN P CUSACK MD
Family Medicine
3554 PROMENADE PKWY, SUITE F
LAFAYETTE, IN 47909
Tippecanoe County (765) 477-2200
DR. ROBERT CHARLES TURNER M.D.
Family Medicine (Adult Medicine)
3554 PROMENADE PKWY, SUITE H
LAFAYETTE, IN 47909
Tippecanoe County (765) 471-1100
UNITY HEALTHCARE, LLC
Family Medicine
3554 PROMENADE PKWY, SUITE F
LAFAYETTE, IN 47909
Tippecanoe County (765) 471-9146
PHOENIX PARAMEDIC SOLUTIONS, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
3554 PROMENADE PKWY
LAFAYETTE, IN 47909
Tippecanoe County (765) 637-7161
UNITED MEDICAL SERVICES LLC
Clinical Medical Laboratory
3554 PROMENADE PKWY, SUITE H
LAFAYETTE, IN 47909
Tippecanoe County (765) 471-1100
SHADI M RESHEIDAT MD
Family Medicine
3554 PROMENADE PKWY, SUITE F
LAFAYETTE, IN 47909
Tippecanoe County (765) 471-9146

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 Jill Pease's NPI number?

The NPI number for Jill Pease is 1619951126. It was assigned to this individual provider in the NPPES registry on November 30, 2005. The provider is also known as Jill C Buckles Physician Assistant.

Where is Jill Pease located?

Jill Pease practices at 3554 Promenade Pkwy Suite H, Lafayette, IN 47909. The listed phone number is (765) 471-1100.

What is Jill Pease'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 Jill Pease was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.