Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Blasingame, PA-C

Individual provider Physician Assistant · NPI 1720619232

Jacob Blasingame, PA-C is a Physician Assistant in Monticello, Illinois. Qualified in 2019, 7 years ago. Practices with Kirby Medical Center, a 79-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 Medical Center Dr
Monticello, IL 61856-2116
Phone: (217) 762-6241
Fax: (217) 762-1702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007530 (IL)

Record details

NPI number1720619232
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2020
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address1000 Medical Center Dr, Monticello, IL 61856-2116

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kirby Medical Center — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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