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

Individual provider Physician Assistant · NPI 1043520869

Jacob M Monsivais, PA-C is a Physician Assistant in Springfield, Illinois. Qualified in 2010, 16 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Illinois.

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

751 N Rutledge St Ste 3100
Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-7363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085-003841 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085-003841 (IL)

Record details

NPI number1043520869
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2010
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

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 Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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