Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jacob Nuss, PA

Individual provider Physician Assistant · NPI 1053254946

Jacob Nuss, PA is a Physician Assistant in Decatur, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone: (217) 329-1000
Fax: (217) 329-1055
Show map & directions

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

Additional practice locations (1)

  • 1800 E Lake Shore Dr, Decatur, IL 62521-3810 — (217) 464-2966

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.012436 (IL)
Medical Physician Assistant Taxonomy 363AM0700X (IL)

Record details

NPI number1053254946
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 14, 2026
Last updated in NPPESOctober 5, 2026
Certification dateOctober 5, 2026

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