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

Jacob Timothy Mach, PA

Individual provider Physician Assistant · NPI 1124487038

Jacob Timothy Mach, PA is a Physician Assistant in Alexandria, Minnesota. Qualified in 2015, 11 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Minnesota.

Years since qualifying
11
Licensed in
CO, MN
In the registry since
2016
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.

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Practice location Address checks out

1527 Broadway St
Alexandria, MN 56308-2537
Phone: (320) 762-0399
Fax: (320) 762-6847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15464 East Orchard Road, Centennial, CO 80016 — (303) 680-5437

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12506 (MN)
Physician Assistant Taxonomy 363A00000X · Licence PA0004552 (CO)

Record details

NPI number1124487038
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 19, 2016
Last updated in NPPESMarch 17, 2018
Mailing addressPo Box 2010, Fargo, ND 58122-2484

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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