JACOB WALLING
NPI 1467254540
Physician Assistant in Albany, NY

Q: What is Jacob Walling's NPI number?

The NPI number for Jacob Walling is 1467254540. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Q: What is Jacob Walling's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Walling was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 27, 2025PECOS EnrolledAccepts Medicare Assignment

319 S MANNING BLVD STE 106, ALBANY, NY 12208(518) 438-1019(518) 438-0981 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacob Walling NPPES

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

JACOB WALLING (NPI 1467254540) is an individual physician assistant in Albany, New York and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467254540

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB WALLING

Location Address319 S MANNING BLVD STE 106Albany, NY 12208-1743

Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094

Phone(518) 438-1019

Fax(518) 438-0981

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 27, 2025

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 21, 2025

✔ NPI 1467254540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

319 S MANNING BLVD STE 106, Albany, NY 12208

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Secondary Practice Locations 3

Location 11735 Route 9Halfmoon, NY 12065-2421 · Phone (518) 525-1789 · Fax (518) 776-2785

Location 24 Executive Park Dr Ste 2Albany, NY 12203-3717 · Phone (518) 489-7494 · Fax (518) 489-7641

Location 32231 Burdett Ave Ste 160Troy, NY 12180-2453 · Phone (518) 272-1333 · Fax (518) 272-1331

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

Jacob Walling 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 ID2668973926

PECOS Enrollment IDI20250828002663

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.

Hospital Affiliations CMS Care Compare

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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 18

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

DR. JONAH MARSHALL M.D.

Urology