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

Individual provider Physician Assistant · NPI 1265189161

Jacob Daniels, PA-C is a Physician Assistant in Blaine, Minnesota. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2020, 6 years ago. Practices with Ear Institutes LLC, a 12-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
University of Iowa, Rj & L Carver College of Medicine
In the registry since
2022
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

4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 55449-4544
Phone: (888) 938-3838
Fax: (888) 919-1083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1265189161
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing address10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Ear Institutes Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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