MR. JACOB JONATHAN WHITE PA
NPI 1265818884
Physician Assistant in Chicago, IL

Active since August 05, 2015PECOS EnrolledAccepts Medicare Assignment
5645 W ADDISON ST, CHICAGO, IL 60634(773) 282-7000 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jacob Jonathan White Pa NPPES

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

MR. JACOB JONATHAN WHITE PA (NPI 1265818884) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085005589) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Community First Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265818884
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JACOB JONATHAN WHITECredential: PA
Location Address5645 W ADDISON STChicago, IL 60634-4403
Mailing Address5645 W Addison StChicago, IL 60634-4403
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 5, 2015
NPI 1265818884 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 · 085005589
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.

5645 W ADDISON ST, Chicago, IL 60634

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacob Jonathan White Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143536094
PECOS Enrollment IDI20150909000055
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community First Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number140251
Location5645 W Addison StreetChicago, IL 60634 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60634 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.

Anesthesiology
5645 W ADDISON ST
CHICAGO, IL 60634
Physical Therapist
5645 W ADDISON ST
CHICAGO, IL 60634
Physical Therapist
5645 W ADDISON ST
CHICAGO, IL 60634
Physical Therapist
5645 W ADDISON ST
CHICAGO, IL 60634
General Acute Care Hospital
5645 W ADDISON ST
CHICAGO, IL 60634
Radiology (Diagnostic Radiology)
5645 W ADDISON ST
CHICAGO, IL 60634
Nurse Anesthetist, Certified Registered
5645 W ADDISON ST
CHICAGO, IL 60634
Physical Therapist
5645 W ADDISON ST
CHICAGO, IL 60634

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 White's NPI number?

The NPI number for Jacob White is 1265818884. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Jacob White located?

Jacob White practices at 5645 W Addison St, Chicago, IL 60634. The listed phone number is (773) 282-7000.

What is Jacob White's specialty?

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

Is Jacob White enrolled in Medicare?

Yes. Jacob White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob White affiliated with any hospitals?

According to CMS data, Jacob White is affiliated with Community First Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob White was last updated on August 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.