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

Individual provider Physician Assistant · NPI 1679824064

Mrs. Shayla Jackson, PA-C is a Physician Assistant in Mars, Pennsylvania. Qualified in 2012, 14 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
14
Licensed in
IL, PA
In the registry since
2012
Specialties on file
3
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

6998 Crider Rd
Mars, PA 16046
Phone: (724) 778-3627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1441 Branding Ave Ste 310, Downers Grove, IL 60515-5624 — (708) 634-0950
  • 5200 Centre Ave Ste 715, Pittsburgh, PA 15232-1327 — (412) 864-7521
  • 14555 W National Ave, New Berlin, WI 53151-4494 — (262) 693-4312

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA055773 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 085-011019 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA055773 (PA)

Record details

NPI number1679824064
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mars