Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629814348 Individual Practitioner Male Practitioner

Jacob Bayley Sholl , PA-C

Physician Assistant • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Jacob Sholl, PA-C is a registered healthcare professional specializing in Physician Assistant in Springfield, IL. Practice services are available at 701 N 1ST ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 N 1st St

Springfield, IL 627810001

Telephone 2177883030
Associated Practice Facility / Clinic
🏢 Memorial Home Services Facility NPI 1982607123

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Springfield, IL (4958 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
31 31 $1070.00 $147.34

Medical Specialties & State Licenses

CMS Verified: 2024-08-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Secondary Practice Locations

2300 N Edward St

Decatur, IL 625264163

Phone: 2178768121

200 Stahlhut Dr

Lincoln, IL 626565066

Phone: 2177322161

Practice Associates & Co-Workers

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

5 Associated Practitioners
Andrea Sheley , FNP

Nurse Practitioner - Family

NPI 1063768513

Family Nurse Practitioner

Dr. Hunter Roller , MD

Psychiatry & Neurology - Psychiatry

NPI 1144063504

Doctor of Medicine (M.D.)

Michelle Boyer

Nurse Practitioner - Acute Care

NPI 1225851793
Alita Rastello , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1255874392

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Brittney Gallivan , NP-C

Nurse Practitioner - Family

NPI 1659928646

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2024

Registered at 701 N 1ST ST, SPRINGFIELD, IL 627810001 (Tel: 2177883030)

📍
Updated Business Mailing Address July 02, 2024

Registered at 701 N 1ST ST, SPRINGFIELD, IL 627810001 (Tel: 2177883156)

👤
Provider Name / Credentials Updated July 02, 2024

Recorded as JACOB SHOLL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 02, 2024

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: 1629814348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2024
Last Update: August 05, 2024
Sole Proprietor: No

Mailing Address

701 N 1st St

Springfield, IL 627810001

Phone: 2177883156

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.