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

Individual provider Family Medicine Physician · NPI 1881022960

Jacob L. Runyan, PA-C is a Physician Assistant in Norfolk, Nebraska. Qualified in 2013, 13 years ago. Practices with Avera St Anthonys Hospital, a 23-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
13
Licensed in
NE
In the registry since
2013
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

305 N 37th St
Norfolk, NE 68701-3275
Phone: (402) 370-4100
Fax: (402) 370-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 913 E Zero St, Ainsworth, NE 69210-1556 — (402) 387-1900
  • 418 E 5th St # 403, Atkinson, NE 68713-4885 — (402) 925-2994
  • 101 E South St # 146, Bassett, NE 68714-5508 — (402) 684-2285
  • 110 W 2nd St # 70, Stuart, NE 68780-1701 — (402) 924-3777

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1775 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1775 (NE)

Record details

NPI number1881022960
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2013
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Avera St Anthonys Hospital — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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