JACOB NUSS
NPI 1053254946
Physician Assistant - Medical in Decatur, IL

Active since April 14, 2026
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2966 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Nuss NPPES

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

JACOB NUSS (NPI 1053254946) is an individual medical provider in Decatur, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1053254946
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB NUSS
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address515 E Walnut StMt Zion, IL 62549-1663
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1053254946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1800 E LAKE SHORE DR, Decatur, IL 62521

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.

Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner
1800 E LAKE SHORE DR
DECATUR, IL 62521
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner (Family)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner (Psychiatric/Mental Health)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Emergency Medicine
1800 E LAKE SHORE DR
DECATUR, IL 62521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Nuss's NPI number?

The NPI number for Jacob Nuss is 1053254946. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Jacob Nuss located?

Jacob Nuss practices at 1800 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-2966.

What is Jacob Nuss's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Nuss was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.