JACOB TISEVICH PA
NPI 1811508914
Physician Assistant in Bozeman, MT
About Jacob Tisevich Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB TISEVICH PA (NPI 1811508914) is an individual physician assistant in Bozeman, Montana, licensed in Ohio (50.006640RX) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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.
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
Jacob Tisevich Pa 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bozeman Health Deaconess Hospital
Acute Care Hospitals · Bozeman, MTBethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 59718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOZEMAN, MT 59718
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 Tisevich's NPI number?
The NPI number for Jacob Tisevich is 1811508914. It was assigned to this individual provider in the NPPES registry on August 12, 2020.
Where is Jacob Tisevich located?
Jacob Tisevich practices at 3400 Laramie Dr, Bozeman, MT 59718. The listed phone number is (406) 587-0122.
What is Jacob Tisevich's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jacob Tisevich enrolled in Medicare?
Yes. Jacob Tisevich 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 Tisevich accept?
Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Jacob Tisevich 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 Tisevich affiliated with any hospitals?
According to CMS data, Jacob Tisevich is affiliated with Bozeman Health Deaconess Hospital and Bethesda North.
When was this NPI record last updated?
The NPPES record for Jacob Tisevich was last updated on December 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
