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MR. MICHAEL BLAKE JACOB PA-C
NPI 1821502154
Physician Assistant in Plymouth, MN

Active since November 22, 2017PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2855 CAMPUS DR, PLYMOUTH, MN 55441(763) 577-7000 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2021, Nov 14, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Mr. Michael Blake Jacob Pa-c NPPES

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

MR. MICHAEL BLAKE JACOB PA-C (NPI 1821502154) is an individual physician assistant in Plymouth, Minnesota, licensed in Minnesota (12593) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821502154
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL BLAKE JACOBCredential: PA-C
Location Address2855 CAMPUS DRPlymouth, MN 55441-2649
Mailing Address5600 Camerata Way Unit 221St Louis Park, MN 55416-5285 · (612) 590-3809
Phone(763) 577-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 22, 2017
Last NPPES UpdateMarch 11, 20214 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1821502154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 12593
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.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 12595 (MN)
2855 CAMPUS DR, Plymouth, MN 55441
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Mr. Michael Blake Jacob 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 ID8022377647
PECOS Enrollment IDI20180105000060
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 4

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.
172 services17 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
26 services21 patients
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.
19 services15 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

JACQUELYN H BAKER MA, LP, LMFT
Marriage & Family Therapist
2855 CAMPUS DR, SUITE 400
PLYMOUTH, MN 55441
Hennepin County (612) 577-7400
JAYNE EBERHARDT CRNA
Nurse Anesthetist, Certified Registered
2855 CAMPUS DR
PLYMOUTH, MN 55441
Hennepin County (763) 577-7000
PETER LAWRENCE SEDLACEK CRNA
Nurse Anesthetist, Certified Registered
2855 CAMPUS DR
PLYMOUTH, MN 55441
Hennepin County (763) 577-7000
DANIELA T OUZOUNOVA MD
Internal Medicine
2855 CAMPUS DR, STE. 400
PLYMOUTH, MN 55441
Hennepin County (763) 577-7400
DARLENE FLINT CRNA
Nurse Anesthetist, Certified Registered
2855 CAMPUS DR
PLYMOUTH, MN 55441
Hennepin County (763) 577-7000
INFINITE HEALTH COLLABORATIVE, PA
Durable Medical Equipment & Medical Supplies
2855 CAMPUS DR, SUITE 660
PLYMOUTH, MN 55441
Hennepin County (952) 920-0970
KJERSTEN WING STRUCK NP
Nurse Practitioner
2855 CAMPUS DR
PLYMOUTH, MN 55441
Hennepin County (763) 577-7160
PEIYI WANG MD
Internal Medicine
2855 CAMPUS DR, SUITE 400
PLYMOUTH, MN 55441
Hennepin County (763) 577-7400

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 Michael Jacob's NPI number?

The NPI number for Michael Jacob is 1821502154. It was assigned to this individual provider in the NPPES registry on November 22, 2017.

Where is Michael Jacob located?

Michael Jacob practices at 2855 Campus Dr, Plymouth, MN 55441. The listed phone number is (763) 577-7000.

What is Michael Jacob's specialty?

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

Is Michael Jacob enrolled in Medicare?

Yes. Michael Jacob 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 Michael Jacob accept?

Health plans from HealthPartners and Medica list Michael Jacob 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 Michael Jacob affiliated with any hospitals?

According to CMS data, Michael Jacob is affiliated with Allina United Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Michael Jacob was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.