Michael Blake Jacob, PA-C
Physician Assistant · Plymouth, MN
Michael Blake Jacob, PA-C is a physician assistant with a practice address in Plymouth, Minnesota, and NPI 1821502154, issued on Nov 22, 2017. Check the license (Minnesota 12593, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Michael Blake Jacob
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 12593 MN
12595 MN
Self-reported in NPPES; status is on the state search - Practice location
- 2855 Campus Dr, Plymouth, MN 55441
- Phone
- (763) 577-7000
- Enumerated
- Nov 22, 2017
- Record last updated
- Mar 11, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20180105000060); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Also registered at 2855 Campus Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jennifer Bratvold, RPHPharmacist1891935722
- Saydi Chahla, MDPediatric Emergency Medicine (Emergency Medicine) Physician1578802765
Verify Michael Blake Jacob in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 12593Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
86% fewer Medicare Part D claims than the average physician assistant in 2024
113 Medicare Part D claims for 40 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 31 claims were for opioids.
Most prescribed
- Meloxicam41 claims
- Ondansetron Odt22 claims
- Oxycodone-Acetaminophen15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 83.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Allina Health SystemPlymouth, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael Blake Jacob among 4,007 physician assistant records in Minnesota
Michael Blake Jacob, PA-C is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 50% of them.
- NPI issued2017 · 50% of these records are older, 46% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2017 · median 2017 among the 3,131 with a school on file
- Record last updated2021 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
54 physician assistant records list a practice address in Plymouth
They are 54 of the 1,500 NPPES records with a practice address in Plymouth, and 4,007 physician assistant records in Minnesota.
All 4,007 in Minnesota → Every provider in Plymouth → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Kaeli DemarcoPlymouth, MN 554411609464734
- Patrick Denman, PA-CPlymouth, MN 554411164759528
- Narges Golgol, PAPlymouth, MN 554411457741092
- Lisa Hoepner, PA-CPlymouth, MN 554411215024807
- Joalle Holmberg, PAPlymouth, MN 554411932258472
- Randee McGown, PAPlymouth, MN 554411629097258
- Amy Moe, PAPlymouth, MN 554411457382137
- Adam Olsson, PAPlymouth, MN 554411992378822
Common questions
What is Michael Blake Jacob, PA-C's NPI number?
Michael Blake Jacob, PA-C's National Provider Identifier (NPI) is 1821502154, issued on Nov 22, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Michael Blake Jacob, PA-C located?
The NPPES record lists a practice address at 2855 Campus Dr, Plymouth, MN, 55441. Phone: (763) 577-7000. Providers update this record themselves, so call before visiting.
How can I verify Michael Blake Jacob, PA-C's license?
NPPES lists Minnesota license number 12593, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
How much does Michael Blake Jacob, PA-C prescribe under Medicare Part D?
In 2024, Michael Blake Jacob, PA-C had 113 Medicare Part D claims for 40 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Michael Blake Jacob, PA-C's MIPS final score?
The 2023 MIPS final score is 83.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.
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.