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

John Jacobs, PA

Individual provider Physician Assistant · NPI 1871232793

John Jacobs, PA is a Physician Assistant in Horseheads, New York. Qualified in 2022, 4 years ago. Practices with Arnot Ogden Medical Center, a 217-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
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.

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Practice location Address checks out

100 John Roemmelt Dr Ste 101
Horseheads, NY 14845-8302
Phone: (607) 739-0352
Fax: (607) 739-6909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 84 Canal St Ste 8, Big Flats, NY 14814-8968 — (607) 301-4141

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 028495 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1871232793
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address601 Elmwood Ave Box 670, Rochester, NY 14642-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Arnot Ogden Medical Center — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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