JAKE A DAVIS PA-C
NPI 1710380795
Physician Assistant - Surgical in Shenandoah, IA

Active since October 03, 2014PECOS EnrolledAccepts Medicare Assignment
300 PERSHING AVVENUE, SHENANDOAH, IA 51601(712) 246-1230 Get Directions Write a Review

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

Record update history: Jan 28, 2026, Jan 21, 2026, Jan 7, 2025 and 2 more (5 updates tracked since 2020).

About Jake A Davis Pa-c NPPES

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

JAKE A DAVIS PA-C (NPI 1710380795) is an individual surgical provider in Shenandoah, Iowa, licensed in Iowa (074782) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Shenandoah Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1710380795
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJAKE A DAVISCredential: PA-C
Location Address300 PERSHING AVVENUEShenandoah, IA 51601
Mailing Address300 Pershing AvvenueShenandoah, IA 51601 · (712) 246-7101 · Fax (712) 218-7670
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 3, 2014
Last NPPES UpdateJanuary 28, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1710380795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IA · 074782
300 PERSHING AVVENUE, Shenandoah, IA 51601

Accepted Insurance

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

Jake A Davis Pa-c 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 ID244452431
PECOS Enrollment IDI20220830004147
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 3

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,822 services111 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
189 services124 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
174 services103 patients

Hospital Affiliations CMS Care Compare

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

Shenandoah Medical Center

Critical Access Hospitals · Shenandoah, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161366
Location300 Pershing AvenueShenandoah, IA 51601 · Page County
Emergency services

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 Jake Davis's NPI number?

The NPI number for Jake Davis is 1710380795. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Where is Jake Davis located?

Jake Davis practices at 300 Pershing Avvenue, Shenandoah, IA 51601. The listed phone number is (712) 246-1230.

What is Jake Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jake Davis enrolled in Medicare?

Yes. Jake Davis 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.

What insurance does Jake Davis accept?

Health plans from UnitedHealthcare list Jake Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jake Davis affiliated with any hospitals?

According to CMS data, Jake Davis is affiliated with Shenandoah Medical Center.

When was this NPI record last updated?

The NPPES record for Jake Davis was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.