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

Mr. Jacob Patrick Wacker, MMSC, PA-C

Individual provider Physician Assistant · NPI 1548113376

Mr. Jacob Patrick Wacker, MMSC, PA-C is a Physician Assistant in Chesterfield, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2026.

Licensed in
IL, MO
In the registry since
2026
Specialties on file
2
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

1001 Chesterfield Pkwy E Ste 201
Chesterfield, MO 63017-2167
Phone: (636) 532-2422
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2026007576 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085.012208 (IL)

Record details

NPI number1548113376
Entity typeIndividual (Type 1)
GenderMale
Credentials MMSC , PA-C
Sole proprietorNo
NPI enumeratedFebruary 19, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address100 Church St S, New Haven, CT 06519-1703

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