JACOB BLASINGAME PA-C
NPI 1720619232
Physician Assistant in Monticello, IL

Q: What is Jacob Blasingame's NPI number?

The NPI number for Jacob Blasingame is 1720619232. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Q: What is Jacob Blasingame'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 Blasingame was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 February 03, 2020PECOS EnrolledAccepts Medicare Assignment

1000 MEDICAL CENTER DR, MONTICELLO, IL 61856(217) 762-6241(217) 762-1702 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2024, Feb 3, 2020 (2 updates tracked since 2020).

On this page

About Jacob Blasingame Pa-c NPPES

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

JACOB BLASINGAME PA-C (NPI 1720619232) is an individual physician assistant in Monticello, Illinois, licensed in Illinois (085007530) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Kirby Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720619232

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB BLASINGAMECredential: PA-C

Location Address1000 MEDICAL CENTER DRMonticello, IL 61856-2116

Mailing Address1000 Medical Center DrMonticello, IL 61856-2116 · (217) 762-2115 · Fax (217) 762-1542

Phone(217) 762-6241

Fax(217) 762-1702

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 3, 2020

Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration

NPPES CertifiedDecember 13, 2024

✔ NPI 1720619232 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 · 085007530

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.

1000 MEDICAL CENTER DR, Monticello, IL 61856

Open in Google Maps ↗

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 Blasingame 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 ID9234552472

PECOS Enrollment IDI20200707002512

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

85 services84 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Kirby Medical Center

Critical Access Hospitals · Monticello, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141301

Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61856 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

MS. LACI M RASCHER FNP

Nurse Practitioner (Family)