Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jan Miriam Jacob-Wickland, PA-C

Individual provider Physician Assistant · NPI 1508980541

Jan Miriam Jacob-Wickland, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 1986, 40 years ago. Practices with Western Anesthesiology Associates Inc, a 254-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
40
Licensed in
MO
In the registry since
2007
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

615 S New Ballas Rd Dept OF
Saint Louis, MO 63141-8221
Phone: (314) 251-6000
Fax: (636) 386-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 454-8134

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 119559 (MO)

Record details

NPI number1508980541
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESFebruary 20, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Western Anesthesiology Associates Inc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients303
Services billed 306 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Mercy Hospital St Louis Hospital · Saint Louis, MO · listed as Mercy Hospitals East Communities Mercy Hospital St Louis

Colleagues at Western Anesthesiology Associates Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 254 clinicians in the practice; 12 are shown here.

Other providers in Saint Louis