JACOB HILL PA-C
NPI 1972325595
Physician Assistant - Medical in Waldorf, MD

Active since October 25, 2024PECOS EnrolledAccepts Medicare Assignment
12070 OLD LINE CTR STE 303, WALDORF, MD 20602(301) 645-5100 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Hill Pa-c NPPES

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

JACOB HILL PA-C (NPI 1972325595) is an individual medical provider in Waldorf, Maryland and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972325595
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB HILLCredential: PA-C
Location Address12070 OLD LINE CTR STE 303Waldorf, MD 20602-3535
Mailing Address12070 Old Line Ctr Ste 303Waldorf, MD 20602-3535 · (301) 645-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 25, 2024
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 25, 2025
NPI 1972325595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
12070 OLD LINE CTR STE 303, Waldorf, MD 20602

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Hill 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 ID1052828654
PECOS Enrollment IDI20250729001689
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.

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR STE 303
WALDORF, MD 20602
Physician Assistant (Medical)
12070 OLD LINE CTR STE 303
WALDORF, MD 20602
Physician Assistant
12070 OLD LINE CTR STE 303
WALDORF, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR STE 303
WALDORF, MD 20602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972325595, enumerated as an "individual" on October 25, 2024.

The provider is located at 12070 OLD LINE CTR STE 303 WALDORF, MD 20602 and the phone number is (301) 645-5100.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.