Nicole M. Jack, PA-C
Physician Assistant · Pontiac, IL
Nicole M. Jack, PA-C is a physician assistant with a practice address in Pontiac, Illinois, and NPI 1083104137, issued on May 15, 2018. Check the license (Illinois 085006579, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicole M. Jack
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 085006579 IL
Self-reported in NPPES; status is on the state search - Practice location
- 2500 W Reynolds St, Pontiac, IL 61764
- Phone
- (815) 844-5343
- Enumerated
- May 15, 2018
- Record last updated
- Jun 18, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (815) 844-5715
- Medicare enrollment
- Enrolled (PECOS I20180611002269); 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 2500 W Reynolds St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Adair BartosikPhysical Therapist1982140497
- Brittany Bursott, APNFamily Nurse Practitioner1699325514
Verify Nicole M. Jack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 085006579Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
57% fewer Medicare Part D claims than the average physician assistant in 2024
358 Medicare Part D claims for 131 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims.
Most prescribed
- Amoxicillin-Clavulanate Potass17 claims
- Azithromycin16 claims
- Prednisone14 claims
- Atorvastatin Calcium13 claims
- Cephalexin13 claims
- Quetiapine Fumarate13 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.
The practice group's MIPS final score for 2023 (Medicare payment program): 72.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Memorial Physician ServicesChatham, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicole M. Jack among 4,926 physician assistant records in Illinois
Nicole M. Jack, PA-C 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 2018, is newer than 48% of them.
- NPI issued2018 · 48% of these records are older, 47% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2017 · median 2019 among the 3,407 with a school on file
- Record last updated2018 · 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).
9 physician assistant records list a practice address in Pontiac
They are 9 of the 266 NPPES records with a practice address in Pontiac, and 4,926 physician assistant records in Illinois.
All 4,926 in Illinois → Every provider in Pontiac → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- William ChangPontiac, IL 617641023326121
- John Kincinas, PAPontiac, IL 617641477572154
- Michele Masching-Wright, PA-CPontiac, IL 617641194830695
- Emily McBeathPontiac, IL 617641982310835
- Leslie RomersbergerPontiac, IL 617641104153550
- Richard SaylorPontiac, IL 617641316030679
- Robert Van MeterPontiac, IL 617641497257745
- Danielle VanderveenPontiac, IL 617641215235007
Common questions
What is Nicole M. Jack, PA-C's NPI number?
Nicole M. Jack, PA-C's National Provider Identifier (NPI) is 1083104137, issued on May 15, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Nicole M. Jack, PA-C located?
The NPPES record lists a practice address at 2500 W Reynolds St, Pontiac, IL, 61764. Phone: (815) 844-5343. Providers update this record themselves, so call before visiting.
How can I verify Nicole M. Jack, PA-C's license?
NPPES lists Illinois license number 085006579, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
How much does Nicole M. Jack, PA-C prescribe under Medicare Part D?
In 2024, Nicole M. Jack, PA-C had 358 Medicare Part D claims for 131 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Nicole M. Jack, PA-C's MIPS final score?
The 2023 MIPS final score is 72.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.