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

Individual provider Physician Assistant · NPI 1235685421

Lynnaire Jastillano, PA-C is a Physician Assistant in Terre Haute, Indiana. Qualified in 2016, 10 years ago. Practices with Kidney and Hypertension Center of Wabash Valley LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1625 N 4th St
Terre Haute, IN 47804-4067
Phone: (812) 232-8716
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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 10002099A (IN)

Record details

NPI number1235685421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 29, 2016
Last updated in NPPESAugust 29, 2016

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 Kidney And Hypertension Center Of Wabash Valley Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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