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

Individual provider Medical Physician Assistant · NPI 1770851602

Jacob C Neibaur, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2011, 15 years ago. Practices with Infectious Disease Specialists LLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
15
Licensed in
NV
In the registry since
2011
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

6276 S Rainbow Blvd #100
Las Vegas, NV 89118-3242
Phone: (702) 396-4165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1313 (NV)

Record details

NPI number1770851602
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2011
Last updated in NPPESJuly 7, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Infectious Disease Specialists Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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