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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB NUSS PA
NPI 1053254946
Physician Assistant in Decatur, IL

Active since April 14, 2026PECOS Enrolled
1730 E LAKE SHORE DR, DECATUR, IL 62521(217) 329-1000(217) 329-1055 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Apr 14, 2026 (2 updates tracked since 2026).

About Jacob Nuss Pa NPPES

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

JACOB NUSS PA (NPI 1053254946) is an individual physician assistant in Decatur, Illinois, licensed in Illinois (085.012436) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Decatur, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1053254946
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB NUSSCredential: PA
Location Address1730 E LAKE SHORE DRDecatur, IL 62521-3809
Mailing Address1730 E Lake Shore DrDecatur, IL 62521-3809 · (217) 329-1000 · Fax (217) 329-1055
Phone(217) 329-1000
Fax(217) 329-1055
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 14, 2026
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1053254946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.012436
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1730 E LAKE SHORE DR, Decatur, IL 62521
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Secondary Practice Location 1

Location 11800 E Lake Shore DrDecatur, IL 62521-3810 · Phone (217) 464-2966

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Nuss Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002376233
PECOS Enrollment IDI20260908000819
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

MICHEAL YOUNG M.D.
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 329-1000
JIGNESH MODI M.D.
Internal Medicine (Infectious Disease)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 329-1000
DANXUAN LONG MD
Internal Medicine (Pulmonary Disease)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-1350
MANOJ KOHLI MD
Internal Medicine (Rheumatology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 329-1000
DOUGLAS CRAIG MAIBENCO MD PHD
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 329-1000
DR. LESLIE STANISLAUS ANEWENAH MD
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 329-1000
DR. RICHARD ROBERT DILORENZO DO
Internal Medicine (Gastroenterology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 329-1000
KHONDKER ISLAM MD
Internal Medicine (Gastroenterology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 329-1000

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 1730 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 329-1000.

What is Jacob Nuss's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Nuss enrolled in Medicare?

Yes. Jacob Nuss is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Nuss was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.