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

Jacob Trudeau, PA-C

Individual provider Medical Physician Assistant · NPI 1841737202

Jacob Trudeau, PA-C is a Physician Assistant in Wasilla, Alaska. Qualified in 2016, 10 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184
Phone: (907) 352-2883
Fax: (907) 352-2805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 209 W Evergreen Ave, Palmer, AK 99645-6952 — (907) 861-1400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1841737202
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2017
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address1207 Joseph Ct, Gibsonia, PA 15044-8057

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Wasilla