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NPI · 1710380795 · NPPES-sourced

Jake Davis PA-C

ActiveSurgical Physician Assistant
NPI Number
1710380795
Type 1 · Individual
Taxonomy Code
363AS0400X
Contact
(712) 246-1230
License IA · 074782
Last Updated
Enumerated
Primary practice addressIA · 51601
300 Pershing AvvenueShenandoah, IA 51601
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About this NPIWhat this record shows.

NPI 1710380795 is registered to Jake Davis PA-C, a Surgical Physician Assistant practising at 300 Pershing Avvenue in Shenandoah, Iowa. Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jake Davis PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2014.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jake Davis PA-C accepts. To confirm in-network status with your specific health plan, contact Jake Davis PA-C directly at (712) 246-1230.

Frequently asked

Yes. NPI 1710380795 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (712) 246-1230.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jake Davis PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AS0400X
Last updated
Enumerated
StatusActive
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