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

Jared Michael Lewis, PAC

Individual provider Physician Assistant · NPI 1639611718

Jared Michael Lewis, PAC is a Physician Assistant in Cape Girardeau, Missouri. Qualified in 2016, 10 years ago. Practices with Saint Francis Medical Center, a 441-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

48 Doctors Park
Cape Girardeau, MO 63703-4928
Phone: (573) 335-8257
Fax: (573) 335-8424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2016039248 (MO)

Record details

NPI number1639611718
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 7, 2016
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing addressPo Box 801143, Kansas City, MO 64180-1143

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Francis Medical Center — 441 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Cape Girardeau