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

Jacob Sherrill

Individual provider Physician Assistant · NPI 1770332892

Jacob Sherrill is a Physician Assistant in San Antonio, Texas. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4492
Phone: (210) 358-4000
Fax: (210) 358-4775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 S Novell Place, Provo, UT 84606 — (817) 683-2798

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19867 (TX)

Record details

NPI number1770332892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2024
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address1800 S Novell Place, Provo, UT 84606

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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