Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jacob Andrew Walters, PA-C
Physician Assistant in Ozark, MO · enumerated 2013.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1245579200
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Jacob Andrew Walters
Credential PA-C
Sex Male
Practice address 3050 E River Bluff Blvd, Ozark, MO, 65721
Phone (417) 885-3000
Fax (717) 737-7197
Enumeration date Feb 11, 2013
Last updated in NPPES Aug 18, 2021
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA055982 (PA) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA055982 (PA) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA055982 (PA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2021024722 (MO) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jacob Walters?
Jacob Walters is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Jeffrey Delvecchio Physician Assistant · Ozark, MO NPI 1528094695 Brian Neely Hospitalist Physician · Ozark, MO NPI 1992727374 Jessica Davis Physician Assistant · Ozark, MO NPI 1568501112 Kraig Holtorf Physician Assistant · Ozark, MO NPI 1417096058 Margaret Simpson Adult Health Nurse Practitioner · Ozark, MO NPI 1215119359 Jeremy Onnen Orthopaedic Surgery Physician · Ozark, MO NPI 1255599841 Landon Hough Sports Medicine (Family Medicine) Physician · Ozark, MO NPI 1952563215 Robert Jones Orthopaedic Surgery Physician · Ozark, MO NPI 1093957565
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-18.