NPPES file of Aug 9, 2026

Jacob Clark

Medical Physician Assistant · Peoria, IL

Jacob Clark is a medical physician assistant with a practice address in Peoria, Illinois, and NPI 1013614304, issued on Feb 8, 2023. Check the license with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1013614304
Name
Jacob Clark
Primary taxonomy
Medical Physician Assistant 363AM0700X
Practice location
530 NE Glen Oak Ave, Peoria, IL 61637
Phone
(309) 655-2000
Enumerated
Feb 8, 2023
Record last updated
Apr 7, 2023
Medicare enrollment
Enrolled (PECOS I20230926001067); accepts Medicare assignment
Medical or professional school
Yale University School Of Medicine, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest medical physician assistant records → All 671 in Illinois → Look up another NPI →

Also registered at 530 NE Glen Oak Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Motaz Abas, MDInternal Medicine Physician1215510201
  2. Mohammed Abdulaaima, MDInternal Medicine Physician1861952707
  3. Makram Abou Ghaida, MDStudent in an Organized Health Care Education/Training Program1659119253
  4. Bassel Abouzeid, MDObstetrics & Gynecology Physician1376160846
  5. Susan Abraham, M.D.Internal Medicine Physician1598926818
  6. Angela AdamsOccupational Therapist1124564802

Verify Jacob Clark in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

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Bills Medicare through one group practice

  1. Osf Multi-Specialty GroupPeoria, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jacob Clark among 671 medical physician assistant records in Illinois

Jacob Clark is one of 671 medical physician assistant records with a practice address in Illinois. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 90% of them.

  • NPI issued2023 · 90% of these records are older, 6% newer
  • In a Medicare fileYes · 70% of these records are
  • In the CMS Doctors and Clinicians fileYes · 51% of these records are
  • Graduated2023 · median 2012 among the 340 with a school on file
  • Record last updated2023 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Medical Physician Assistant providers in Illinois

There are 671 medical physician assistant records in Illinois.

All 671 in Illinois → Every provider in Peoria → Medical Physician Assistant nationwide →

The 8 medical physician assistant records with the nearest ZIP codes

  1. Katherine GuoPeoria, IL 616371588521504
  2. Amy HuynhPeoria, IL 616371124959648
  3. Katherine Williams, MSPAS, PA-CPeoria, IL 616371770832495
  4. Eunice GeevarghesePeoria, IL 616361336027549
  5. James Caruso, PA-CPeoria, IL 616151275612681
  6. Danny Cox, PACPeoria, IL 616151710099841
  7. Elizabeth Moore, PAPeoria, IL 616151265543391
  8. Lori Van VoorenPeoria, IL 616151720158678

Common questions

What is Jacob Clark's NPI number?

Jacob Clark's National Provider Identifier (NPI) is 1013614304, issued on Feb 8, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Jacob Clark located?

The NPPES record lists a practice address at 530 NE Glen Oak Ave, Peoria, IL, 61637. Phone: (309) 655-2000. Providers update this record themselves, so call before visiting.

How can I verify Jacob Clark's license?

Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.