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

Individual provider Physician Assistant · NPI 1689275000

Jacob Johnston Nolan, PA-C is a Physician Assistant in Goshen, Indiana. Qualified in 2020, 6 years ago. Practices with Maple City Health Care Center Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
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

2824 Elkhart Rd
Goshen, IN 46526-1014
Phone: (574) 535-1700
Fax: (574) 535-1799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002996A (IN)

Record details

NPI number1689275000
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

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 Maple City Health Care Center Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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