JACOB M MONSIVAIS PA-C
NPI 1043520869
Physician Assistant - Medical in Springfield, IL

Q: What is Jacob Monsivais's NPI number?

The NPI number for Jacob Monsivais is 1043520869. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Q: What is Jacob Monsivais's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Monsivais was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2010PECOS EnrolledAccepts Medicare Assignment

751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7363 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Sep 25, 2018 (2 updates tracked since 2018).

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About Jacob M Monsivais Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB M MONSIVAIS PA-C (NPI 1043520869) is an individual medical provider in Springfield, Illinois, licensed in Illinois (085-003841) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1043520869

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJACOB M MONSIVAISCredential: PA-C

Location Address751 N RUTLEDGE ST STE 3100Springfield, IL 62702-4968

Mailing AddressPo Box 19643Springfield, IL 62794-9643 · (217) 545-8000 · Fax (217) 545-7363

Phone(217) 545-8000

Fax(217) 545-7363

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 14, 2010

Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration

NPPES CertifiedDecember 8, 2020

✔ NPI 1043520869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085-003841

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085-003841 (IL)

751 N RUTLEDGE ST STE 3100, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob M Monsivais Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466648365

PECOS Enrollment IDI20101117001514

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAISAL ABDELAZIZ IBRAHIM

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