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

Mrs. Jessica M Wachtel, PA

Individual provider Physician Assistant · NPI 1306829775

Mrs. Jessica M Wachtel, PA is a Physician Assistant in Waterloo, Illinois. Qualified in 2005, 21 years ago. Practices with Deaconess Illinois Clinic Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

509 Hamacher St Ste 102
Waterloo, IL 62298
Phone: (618) 939-3939
Fax: (618) 939-3941
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002375 (IL)

Record details

NPI number1306829775
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESMay 9, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Deaconess Illinois Clinic Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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