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

Jacob Thompson, PA, MILITARY

Individual provider Independent Duty Medical Technicians · NPI 1730805540

Jacob Thompson, PA, MILITARY is a Physician Assistant in Wasilla, Alaska. Graduated from University of Washington School of Medicine in 2025, 1 year ago. Practices with Advanced Dermatology of Alaska LLC, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
1
Trained at
University of Washington School of Medicine
Licensed in
AK
In the registry since
2022
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

3066 E Meridian Park Loop
Wasilla, AK 99654-7254
Phone: (907) 357-2332
Show map & directions

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

Additional practice locations (2)

  • 1100 E Dimond Blvd Ste 103, Anchorage, AK 99515-2001 — (907) 267-5890
  • 5955 Zeamer Ave, Jber, AK 99506-3702 — (907) 891-9315

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 249029 (AK)
Independent Duty Medical Technicians Taxonomy 1710I1003X

Record details

NPI number1730805540
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , MILITARY
Sole proprietorYes
NPI enumeratedOctober 13, 2022
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Advanced Dermatology Of Alaska Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare