Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063109627 Individual Practitioner Male Practitioner

Jacob Tyler Pike , PA-C

Physician Assistant • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Jacob Pike, PA-C is a registered healthcare professional specializing in Physician Assistant in Evanston, IL. Practice services are available at 2650 RIDGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8475257451
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
77 Specialists

Practicing in Evanston, IL (4958 Statewide)

Telehealth Adoption Rate
16.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085009824

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

29681 N Waukegan Rd Apt 204

Lake Bluff, IL 600445482

Phone: 8475257451

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Thomas Cibull , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003000134

Doctor of Medicine (M.D.)

NPI 1003504648

Doctor of Medicine (M.D.)

Dr. Daniel West , MD

Radiology - Diagnostic Radiology

NPI 1003835448

Doctor of Medicine (M.D.)

Dr. Joel Bernstein , MD

Radiology - Diagnostic Radiology

NPI 1003859505

Doctor of Medicine (M.D.)

Dr. Matthew Sherwood , MD

Internal Medicine

NPI 1013084078

Doctor of Medicine (M.D.)

Dr. Michael Gillam , MD

Emergency Medicine

NPI 1013092188

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 29, 2023

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475257451)

📍
Updated Business Mailing Address August 29, 2023

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475257451)

👤
Provider Name / Credentials Updated August 29, 2023

Recorded as JACOB PIKE, PA-C

NPI Profile Active April 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2023

Registered at 29681 N WAUKEGAN RD APT 204, LAKE BLUFF, IL 600445482 (Tel: 8475257451)

📍
Updated Business Mailing Address April 30, 2023

Registered at 29681 N WAUKEGAN RD APT 204, LAKE BLUFF, IL 600445482 (Tel: 8475257451)

👤
Provider Name / Credentials Updated April 30, 2023

Recorded as JACOB PIKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063109627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2023
Last Update: August 29, 2023
Sole Proprietor: No

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

Phone: 8475257451

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.