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

Zachary Humphress

Individual provider Physician Assistant · NPI 1942809330

Zachary Humphress is a Physician Assistant in Jacksonville, Illinois. Qualified in 2021, 5 years ago. Practices with Memorial Physician Services, a 158-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020

Practice location Address checks out

15 Founders Ln
Jacksonville, IL 62650-3919
Phone: (217) 243-0300
Show map & directions

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

Additional practice locations (1)

  • 620 W Lexington St, Baltimore, MD 21201-1508 — (410) 777-1881

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1942809330
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2020
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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