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JACOB TYLER PIKE PA-C
NPI 1063109627
Physician Assistant in Evanston, IL

Active since April 24, 2023PECOS Enrolled
2650 RIDGE AVE, EVANSTON, IL 60201(847) 525-7451 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Tyler Pike Pa-c NPPES

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

JACOB TYLER PIKE PA-C (NPI 1063109627) is an individual physician assistant in Evanston, Illinois, licensed in Illinois (085009824) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Bluff.

NPPES Registry Identity

NPI1063109627
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB TYLER PIKECredential: PA-C
Location Address2650 RIDGE AVEEvanston, IL 60201-1700
Mailing Address2650 Ridge AveEvanston, IL 60201-1700 · (847) 525-7451
Phone(847) 525-7451
Sole ProprietorNo
Enumeration DateApril 24, 2023
Last NPPES UpdateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1063109627 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 · 085009824
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2650 RIDGE AVE, Evanston, IL 60201
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Secondary Practice Location 1

Location 129681 N Waukegan Rd Apt 204Lake Bluff, IL 60044-5482 · Phone (847) 525-7451

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 Tyler Pike Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60201 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 20

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

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
LAUREN ANDERSON MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1027
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MICHAEL T. GILLAM M.D.
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Cook County (847) 570-2114
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
DR. SADIE ANNE LAPONSIE M.D.
Pediatrics
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-2000

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 Pike's NPI number?

The NPI number for Jacob Pike is 1063109627. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Jacob Pike located?

Jacob Pike practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 525-7451.

What is Jacob Pike's specialty?

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

Is Jacob Pike enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Pike was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.