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

Jacob Lewis Hemenway, PAC

Individual provider Surgical Physician Assistant · NPI 1982123725

Jacob Lewis Hemenway, PAC is a Physician Assistant in Rapid City, South Dakota. Qualified in 2017, 9 years ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

7220 Mount Rushmore Rd
Rapid City, SD 57702-8754
Phone: (605) 341-1414
Fax: (605) 341-7062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1982123725
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Black Hills Surgical Hospital Llc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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