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

Jacob Jaco, PA-C

Individual provider Physician Assistant · NPI 1639788326

Jacob Jaco, PA-C is a Physician Assistant in Newburgh, Indiana. Qualified in 2020, 6 years ago. Practices with T J Samson Community Hospital, a 194-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
6
Licensed in
IN, KY
In the registry since
2020
Specialties on file
2
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

10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone: (812) 424-9291
Fax: (812) 421-2722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 515 Read St, Evansville, IN 47710-1739 — (812) 424-9291
  • 5828 Pearl Dr, Evansville, IN 47712-8116 — (812) 424-9291
  • 340 Starlite Dr, Henderson, KY 42420-6102 — (812) 424-9291

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002987A (IN)
Physician Assistant Taxonomy 363A00000X · Licence PA2736 (KY)

Record details

NPI number1639788326
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 28, 2020
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address515 Read St, Evansville, IN 47710-1739

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice T J Samson Community Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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