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

Mr. Jacob Wheeler, PA

Individual provider Physician Assistant · NPI 1174973564

Mr. Jacob Wheeler, PA is a Physician Assistant in Bozeman, Montana. Qualified in 2016, 10 years ago. Practices with Bozeman Health Deaconess Hospital, a 313-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
10
Licensed in
MT
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

925 Highland Blvd Ste 1100
Bozeman, MT 59715-6900
Phone: (406) 414-4550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 79505 (MT)
Physician Assistant Taxonomy 363A00000X (MT)

Record details

NPI number1174973564
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

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 Bozeman Health Deaconess Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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