MR. JACOB DANNER WILLS P.A.-C
NPI 1437435112
Physician Assistant - Medical in Bethlehem, PA

Q: What is Jacob Wills's NPI number?

The NPI number for Jacob Wills is 1437435112. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Q: What is Jacob Wills's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Wills was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 26, 2011PECOS Enrolled

2545 SCHOENERSVILLE RD, 5TH FLOOR LVH-M SOUTH, BETHLEHEM, PA 18017(484) 884-6503(484) 884-6504 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2020, Jan 3, 2019, Jun 13, 2017 and 1 more (4 updates tracked since 2017).

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About Mr. Jacob Danner Wills P.a.-c NPPES

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

MR. JACOB DANNER WILLS P.A.-C (NPI 1437435112) is an individual medical provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MA055271) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437435112

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JACOB DANNER WILLSCredential: P.A.-C

Location Address2545 SCHOENERSVILLE RD, 5TH FLOOR LVH-M SOUTHBethlehem, PA 18017-7300

Mailing Address1605 N Cedar Crest Blvd Ste 411Allentown, PA 18104-2323 · (610) 969-1914 · Fax (610) 969-3951

Phone(484) 884-6503

Fax(484) 884-6504

Sole ProprietorNo

Enumeration DateOctober 26, 2011

Last NPPES UpdateApril 21, 20204 updates tracked since enumeration

NPPES CertifiedApril 21, 2020

✔ NPI 1437435112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA055271

Also ListedPhysician AssistantTaxonomy 363A00000X · License OA002759 (PA), MA055271 (PA)

2545 SCHOENERSVILLE RD, Bethlehem, PA 18017

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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)

Mr. Jacob Danner Wills P.a.-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 20

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

STEPHANIE A. COHRAC DO

Emergency Medicine