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JACOB WILLIAM FISHBAUGH PA-C
NPI 1710554274
Physician Assistant in Traverse City, MI

Active since June 04, 2021PECOS EnrolledAccepts Medicare Assignment
3537 W FRONT ST STE A, TRAVERSE CITY, MI 49684(231) 935-0338(231) 935-0569 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Jul 10, 2023, Jun 22, 2023 and 1 more (4 updates tracked since 2021).

About Jacob William Fishbaugh Pa-c NPPES

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

JACOB WILLIAM FISHBAUGH PA-C (NPI 1710554274) is an individual physician assistant in Traverse City, Michigan, licensed in Georgia (10434) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1710554274
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB WILLIAM FISHBAUGHCredential: PA-C
Location Address3537 W FRONT ST STE ATraverse City, MI 49684-7942
Mailing Address1105 Sixth StTraverse City, MI 49684-2386 · (231) 392-0773 · Fax (231) 935-5885
Phone(231) 935-0338
Fax(231) 935-0569
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 4, 2021
Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1710554274 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 GA · 10434
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.
3537 W FRONT ST STE A, Traverse City, MI 49684
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1334 Smith AveThomasville, GA 31792-5533 · Phone (574) 904-6141
Location 2419 S Coral StKalkaska, MI 49646-2503 · Phone (231) 258-7530 · Fax (231) 258-7555
Location 3829 N Center Ave Ste 210Gaylord, MI 49735-1599 · Phone (319) 350-3382 · Fax (231) 935-0569
Location 4224 Park AveFrankfort, MI 49635-9658 · Phone (231) 935-0338 · Fax (231) 935-0568
Location 51619 Anderson RdPetoskey, MI 49770-9256 · Phone (231) 935-0338 · Fax (231) 935-3421

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Jacob William Fishbaugh 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 ID2062817851
PECOS Enrollment IDI20230717002348
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services50 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
72 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services33 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.
21 services20 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
20 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI
OwnershipGovernment - Local
CMS Certification Number231300
Location224 Park AvenueFrankfort, MI 49635 · Benzie County
Emergency services

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 10

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

DR. KATRINA MARIE LAWRENCE-WOLFF DO
Internal Medicine (Rheumatology)
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8330
JONATHAN AARON DUCASTEL MD
Internal Medicine (Nephrology)
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0338
ANNE-MARIE CECILIA DEMING
Physician Assistant
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2525
DIANE PARSONS, MD, PLLC
Specialist
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-9700
HOLLY HINDS NP
Nurse Practitioner (Adult Health)
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0338
CORNELIUS ROBENS, MD, PLLC
Specialist
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-9700
DR. NICOLE LOUISE TRAMONTINI-GUNN MD
Internal Medicine (Rheumatology)
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2525
DR. HEATHER K. LEE, D.O., PLLC
Specialist
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-9700

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 Fishbaugh's NPI number?

The NPI number for Jacob Fishbaugh is 1710554274. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Jacob Fishbaugh located?

Jacob Fishbaugh practices at 3537 W Front St Ste A, Traverse City, MI 49684. The listed phone number is (231) 935-0338.

What is Jacob Fishbaugh's specialty?

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

Is Jacob Fishbaugh enrolled in Medicare?

Yes. Jacob Fishbaugh 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 Jacob Fishbaugh accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jacob Fishbaugh 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 Jacob Fishbaugh affiliated with any hospitals?

According to CMS data, Jacob Fishbaugh is affiliated with Munson Healthcare Cadillac Hospital, Munson Medical Center, Munson Healthcare Otsego Memorial Hospital, Paul Oliver Memorial Hospital and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Fishbaugh was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.