1. Home
  2. Directory
  3. Illinois
  4. Decatur
  5. Physician Assistant
  6. NPI Profile

AMANDA JACOBSEN PA-C
NPI 1174296941
Physician Assistant in Decatur, IL

Active since July 28, 2021PECOS Enrolled
320 E CENTRAL AVE, DECATUR, IL 62521(217) 877-9117 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Jacobsen Pa-c NPPES

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

AMANDA JACOBSEN PA-C (NPI 1174296941) is an individual physician assistant in Decatur, Illinois, licensed in Illinois (085.008421) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174296941
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA JACOBSENCredential: PA-C
Location Address320 E CENTRAL AVEDecatur, IL 62521-4665
Mailing Address1307 Jackson Woods Ct NwCedar Rapids, IA 52405-1920 · (319) 521-3537
Phone(217) 877-9117
Sole ProprietorNo
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1174296941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.008421
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.
320 E CENTRAL AVE, Decatur, IL 62521
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Jacobsen 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 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 20

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

ROBERT LESLEY GOODWIN LPC
Counselor (Professional)
320 E CENTRAL AVE
DECATUR, IL 62521
Macon County (217) 877-9117
COMMUNITY HEALTH IMPROVEMENT CENTER DBA CROSSING HEALTHCARE
Health Educator
320 E CENTRAL AVE
DECATUR, IL 62521
Macon County (217) 877-9117
DR. BROOKE NICOLE BALLARD M.D.
Family Medicine
320 E CENTRAL AVE
DECATUR, IL 62521
Macon County (217) 877-9117
EMILY ANNE WISLER MS, RDN, LDN
Dietitian, Registered
320 E CENTRAL AVE
DECATUR, IL 62521
Macon County (217) 877-9117
COMMUNITY HEALTH IMPROVEMENT CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
320 E CENTRAL AVE
DECATUR, IL 62521
Macon County (217) 877-9117
LAUQUYTA NARVITA WILMORE PA-C
Physician Assistant
320 E CENTRAL AVE
DECATUR, IL 62521
Macon County (217) 877-9117
MRS. AMY ELIZABETH CARIE MS, RD, LDN
Dietitian, Registered
320 E CENTRAL AVE
DECATUR, IL 62521
Macon County (217) 877-9117
SONG KANG PHYSICIAN ASSISTANT
Physician Assistant (Medical)
320 E CENTRAL AVE
DECATUR, IL 62521
Macon County (217) 877-4694

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 Amanda Jacobsen's NPI number?

The NPI number for Amanda Jacobsen is 1174296941. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Amanda Jacobsen located?

Amanda Jacobsen practices at 320 E Central Ave, Decatur, IL 62521. The listed phone number is (217) 877-9117.

What is Amanda Jacobsen's specialty?

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

Is Amanda Jacobsen enrolled in Medicare?

Yes. Amanda Jacobsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Jacobsen was last updated on July 28, 2021. 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.