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JACOB H SORENSEN PA-C
NPI 1114605748
Physician Assistant - Medical in Wilmette, IL

Active since July 05, 2023PECOS Enrolled
3201 OLD GLENVIEW RD STE 130, WILMETTE, IL 60091(847) 673-6505(847) 673-2099 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2025, Jul 5, 2023 (2 updates tracked since 2023).

About Jacob H Sorensen Pa-c NPPES

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

JACOB H SORENSEN PA-C (NPI 1114605748) is an individual medical provider in Wilmette, Illinois, licensed in Illinois (085011078) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114605748
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB H SORENSENCredential: PA-C
Location Address3201 OLD GLENVIEW RD STE 130Wilmette, IL 60091-2964
Mailing Address3201 Old Glenview Rd Ste 130Wilmette, IL 60091-2964 · (847) 673-6505 · Fax (847) 673-2099
Phone(847) 673-6505
Fax(847) 673-2099
Sole ProprietorNo
Enumeration DateJuly 5, 2023
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1114605748 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
License✔ Licensed in IL · 085011078
3201 OLD GLENVIEW RD STE 130, Wilmette, IL 60091
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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 (PECOS)

Jacob H Sorensen 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.

Other Providers at the Same Location NPPES 3

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

DR. JOHN T LEYLAND II MD
Urology
3201 OLD GLENVIEW RD STE 130
WILMETTE, IL 60091
Cook County (847) 673-6505
SHELENCIA WEATHERSPOON FNP
Nurse Practitioner (Family)
3201 OLD GLENVIEW RD STE 130
WILMETTE, IL 60091
Cook County (847) 673-6505
ROBERT STANLEY ROSEN M.D.
Surgery
3201 OLD GLENVIEW RD STE 130
WILMETTE, IL 60091
Cook County (847) 673-6505

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 Sorensen's NPI number?

The NPI number for Jacob Sorensen is 1114605748. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Jacob Sorensen located?

Jacob Sorensen practices at 3201 Old Glenview Rd Ste 130, Wilmette, IL 60091. The listed phone number is (847) 673-6505.

What is Jacob Sorensen's specialty?

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

Is Jacob Sorensen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Sorensen was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.