Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Andrew Walters, PA-C

Individual provider Physician Assistant · NPI 1245579200

Jacob Andrew Walters, PA-C is a Physician Assistant in Ozark, Missouri. Graduated from Drexel University College of Medicine in 2012, 14 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri and Pennsylvania.

Years since qualifying
14
Trained at
Drexel University College of Medicine
Licensed in
MO, PA
In the registry since
2013
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3050 E River Bluff Blvd
Ozark, MO 65721-8807
Phone: (417) 885-3000
Fax: (717) 737-7197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2021024722 (MO)
Physician Assistant Taxonomy 363A00000X · Licence MA055982 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA055982 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA055982 (PA)

Record details

NPI number1245579200
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 11, 2013
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Ozark