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

Individual provider Medical Physician Assistant · NPI 1316338361

Jesse A Stafford, PA-C is a Physician Assistant in Decatur, Arkansas. Qualified in 2014, 12 years ago. Practices with Washington Regional Medical System, a 240-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Licensed in
AR
In the registry since
2015
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

346 N Main St
Decatur, AR 72722-9732 Not confirmed with CMS for 11 years — call before visiting
Phone: (479) 752-3233
Fax: (479) 752-3235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-598 (AR)

Record details

NPI number1316338361
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 12, 2015
Last updated in NPPESFebruary 12, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Washington Regional Medical System — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Washington Regional Medical System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 240 clinicians in the practice; 12 are shown here.