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

Jacob Quinn, PA-C

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1750998704

Jacob Quinn, PA-C is a Physician Assistant in Washington, Illinois. Qualified in 2022, 4 years ago. Practices with Soderstrom Dermatology Center S C, a 33-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

104 Spring Haven Dr
Washington, IL 61571-9792
Phone: (309) 648-2399
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.00912 (IL)
Sports Medicine (Preventive Medicine) Physician Taxonomy 2083S0010X · Licence 096004052 (IL)

Record details

NPI number1750998704
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 24, 2020
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Soderstrom Dermatology Center S C — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare