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Active NPI 1689275000 Individual Practitioner Male Practitioner

Jacob Johnston Nolan , PA-C

Physician Assistant • Goshen, IN

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jacob Nolan, PA-C is a registered Physician Assistant practitioner in Goshen, IN. With approximately 6 years of clinical practice since completing medical education in 2020, Jacob Nolan provides healthcare services at the registered practice location at 2824 ELKHART RD.

Jacob Nolan is affiliated with Maple City Health Care Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2824 Elkhart Rd

Goshen, IN 465261014

Telephone 5745351700
Fax 5745351799
Associated Practice Facility / Clinic
🏢 Nephew Pharmacy Pc Facility NPI 1164972212

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Goshen, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs +0.5 yrs vs City Avg
City Avg: 5.5 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Goshen, IN (2429 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nolan (6 Years) 6 Yrs
Goshen Specialty Average (5.5 Years) 5.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
58 56 $210.00 $101.31
99213 Established patient office or other outpatient visit, typically 15 minutes
52 51 $150.00 $70.86
81003 Automated urinalysis test
26 25 $13.00 $2.20

Medical Specialties & State Licenses

CMS Verified: 2023-04-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10002996A

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.

Hospital & Practice Group Affiliations

Maple City Health Care Center Inc

808 N 3rd St, Goshen, IN 465287100

Phone: 5475343300

Maple City Health Care Center Inc

213 Middlebury St, Goshen, IN 465282956

Phone: 5745343300

Practice Associates & Co-Workers

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

16 Associated Practitioners
Kristina Jackowiak , PA-C

Physician Assistant

NPI 1043551401

Physician Assistant (Certified)

Dr. Jeffrey Eck , MD

Family Medicine

NPI 1073512703

Doctor of Medicine (M.D.)

Edith Fraire , MSN, RN, FNP-BC

Nurse Practitioner - Family

NPI 1083228829

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Board Certified)

Nicole Greenlee , FNP

Nurse Practitioner - Family

NPI 1093371874

Family Nurse Practitioner

Jeff Hire , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1114579307

NURSEPRACTITIONER

Alicia Navarro , NP

Nurse Practitioner - Family

NPI 1144745282

Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location January 12, 2023

Registered at 2824 ELKHART RD, GOSHEN, IN 465261014 (Tel: 5745351700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2023

Physician Assistant (License #10002996A in IN)

📍
Updated Business Mailing Address March 04, 2022

Registered at 2824 ELKHART RD, GOSHEN, IN 465261014 (Tel: 5748253888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2022

Family Medicine (License #10002996A in IN)

📍
Updated Business Mailing Address August 21, 2021

Registered at 1155 N 1200 W, MIDDLEBURY, IN 465409372 (Tel: 5748253888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2021

Physician Assistant (License #10002996A in IN)

NPI Profile Active November 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2020

Registered at 1155 N 1200 W, MIDDLEBURY, IN 465409372 (Tel: 5748253888)

📍
Updated Business Mailing Address November 04, 2020

Registered at 19042 TYLER CT, GOSHEN, IN 465288122 (Tel: 5743128335)

👤
Provider Name / Credentials Updated November 04, 2020

Recorded as JACOB NOLAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2020

Family Medicine (License #10002996A in IN)

🟢
Initial NPI Registration & Enumeration November 03, 2020

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: 1689275000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2020
Last Update: April 21, 2023
Sole Proprietor: No

Mailing Address

2824 Elkhart Rd

Goshen, IN 465261014

Phone: 5748253888

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.