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

Individual provider Medical Physician Assistant · NPI 1588972087

Jacob L Patty, PA-C is a Physician Assistant in LA Crosse, Wisconsin. Qualified in 2010, 16 years ago. Practices with Gundersen Clinic Ltd, a 427-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2010
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

1836 S Ave
LA Crosse, WI 54601
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3375 N Seminary St, Galesburg, IL 61401-1251 — (309) 343-5114

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4761 (WI)

Record details

NPI number1588972087
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2010
Last updated in NPPESAugust 6, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Gundersen Clinic Ltd — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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