Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob William Fishbaugh, PA-C

Individual provider Physician Assistant · NPI 1710554274

Jacob William Fishbaugh, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2021, 5 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
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

3537 W Frnt ST Ste A
Traverse City, MI 49684-7942
Phone: (231) 935-0338
Fax: (231) 935-0569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 334 Smith Ave, Thomasville, GA 31792-5533 — (574) 904-6141
  • 224 Park Ave, Frankfort, MI 49635-9658 — (231) 935-0338
  • 829 N Center Ave Ste 210, Gaylord, MI 49735-1599 — (319) 350-3382
  • 419 S Coral St, Kalkaska, MI 49646-2503 — (231) 258-7530
  • 1619 Anderson Rd, Petoskey, MI 49770-9256 — (231) 935-0338

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10434 (GA)

Record details

NPI number1710554274
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Traverse City