Jaclyn L. Mis, PAC
Physician Assistant · Tinley Park, IL
Jaclyn L. Mis, PAC is a physician assistant with a practice address in Tinley Park, Illinois, and NPI 1073899548, issued on Oct 28, 2011. Check the license (Illinois 085004190, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jaclyn L. Mis
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 085004190 IL
Self-reported in NPPES; status is on the state search - Practice location
- 17495 LA Grange RD, Tinley Park, IL 60487
- Phone
- (815) 416-6641
- Enumerated
- Oct 28, 2011
- Record last updated
- Jul 24, 2023
- Medicare enrollment
- Enrolled (PECOS I20111212000370); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,926 in Illinois → Look up another NPI →
Also registered at 17495 LA Grange RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ruchi Balaney, PA-CMedical Physician Assistant1831408889
- Gillian BrooksPhysical Therapy Assistant1811575749
- Tekekee Buckner, FNPNurse Practitioner1538442918
- Rachelle Centeno, D.O.Diagnostic Radiology Physician1780827337
- Peter Christofylakis, PTPhysical Therapist1902274004
- Marley Coughlin, PTPhysical Therapist1194493809
Verify Jaclyn L. Mis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 085004190Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
71% fewer Medicare Part D claims than the average physician assistant in 2024
240 Medicare Part D claims for 200 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims. 134 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen112 claims
- Gavilyte-G35 claims
- Tramadol Hcl21 claims
- Famotidine14 claims
- Peg-3350 And Electrolytes12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Dupage Medical Group LtdWheaton, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jaclyn L. Mis among 4,926 physician assistant records in Illinois
Jaclyn L. Mis, PAC is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 24% of them.
- NPI issued2011 · 24% of these records are older, 73% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2011 · median 2019 among the 3,407 with a school on file
- Record last updated2023 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
19 physician assistant records list a practice address in Tinley Park
They are 19 of the 1,149 NPPES records with a practice address in Tinley Park, and 4,926 physician assistant records in Illinois.
All 4,926 in Illinois → Every provider in Tinley Park → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jessica Abraham, PA-COrland Park, IL 604871528627239
- Kristin Derungs, PA-CTinley Park, IL 604871588052385
- Sydney Gountounas, PA-CTinley Park, IL 604871972258432
- Elzbieta Kolodziej, P.A.Tinley Park, IL 604871851744833
- Ishani Patel, PATinley Park, IL 604871174842926
- Alexa Polich, PATinley Park, IL 604871144888686
- Stephanie RobertsTinley Park, IL 604871740814680
- Aman Tineh, PATinley Park, IL 604871497523484
Common questions
What is Jaclyn L. Mis, PAC's NPI number?
Jaclyn L. Mis, PAC's National Provider Identifier (NPI) is 1073899548, issued on Oct 28, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Jaclyn L. Mis, PAC located?
The NPPES record lists a practice address at 17495 LA Grange RD, Tinley Park, IL, 60487. Phone: (815) 416-6641. Providers update this record themselves, so call before visiting.
How can I verify Jaclyn L. Mis, PAC's license?
NPPES lists Illinois license number 085004190, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
How much does Jaclyn L. Mis, PAC prescribe under Medicare Part D?
In 2024, Jaclyn L. Mis, PAC had 240 Medicare Part D claims for 200 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.