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Jacob Andrew White , PA-C

Physician Assistant β€’ Osage Beach, MO

Active NPI 1013881176 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

54 Hospital Dr
Osage Beach, MO 650653050

Call 6608882238 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

54 Hospital Dr

Osage Beach, MO 650653050

Telephone 6608882238
Organization at the Same NPPES Address or Phone
Lake Regional Medical Management, Inc. Facility NPI 1639134158

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Camden Emergency Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacob White has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacob White as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Osage Beach and Missouri

11 active clinicians are listed under Physician Assistant with a practice address in Osage Beach, MO (1,791 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Osage Beach

0% of these 11 clinicians have the CMS telehealth indicator.

81.8% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260218002234

Enrollment State Jurisdiction

MO

PECOS Control ID

2466932397

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Camden Emergency Group Llc

54 Hospital Dr, Osage Beach, MO 650653050

Phone: 5733488000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Baron Adkins , DO

Radiology - Diagnostic Radiology

NPI 1992754147

Doctor of Osteopathic Medicine (D.O.)

Dr. Mona Afrassiab , DO

Obstetrics & Gynecology

NPI 1679572119

Doctor of Osteopathic Medicine (D.O.)

Dr. Julia Ansari , MD

Internal Medicine - Interventional Cardiology

NPI 1780846881

Doctor of Medicine (M.D.)

Dr. Ayesha Bashir , MD

Internal Medicine

NPI 1780828657

Doctor of Medicine (M.D.)

Dr. Tania Beltran Papsdorf , MD

Psychiatry & Neurology - Neurology

NPI 1053571760

Doctor of Medicine (M.D.)

David Bergthold , MSN-ACNP

Nurse Practitioner - Acute Care

NPI 1336331065

MSNACNP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 16, 2025

Registered at 54 HOSPITAL DR, OSAGE BEACH, MO 650653050 (Tel: 6608882238)

πŸ‘€
Provider Name / Credentials Updated December 16, 2025

Recorded as JACOB WHITE, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Physician Assistant

βœ…
NPI Profile Active October 01, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 01, 2025

Registered at 5502 PRAIRIE CREEK DR, COLUMBIA, MO 652038463 (Tel: 6608882238)

πŸ“
Business Mailing Address (Initial Record) October 01, 2025

Registered at 5502 PRAIRIE CREEK DR, COLUMBIA, MO 652038463

πŸ‘€
Provider Name / Credentials (Initial Record) October 01, 2025

Recorded as JACOB WHITE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 01, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013881176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2025
Last Update: December 16, 2025
Sole Proprietor: No

Other Physician Assistants in Osage Beach

Mailing Address

5502 Prairie Creek Dr

Columbia, MO 652038463

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.