Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972210920 Individual Practitioner Male Practitioner

Jacob Nicholas Clark , PA-C

Physician Assistant • Lansing, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Clark, PA-C is a certified Physician Assistant practicing in Lansing, MI. With approximately 4 years of clinical experience since completing medical education in 2022, Jacob Clark delivers high-quality medical care to the local community at 1140 E MICHIGAN AVE STE 400.

Jacob Clark is affiliated with Edward W Sparrow Hospital Association and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1140 E Michigan Ave Ste 400

Lansing, MI 489121806

Telephone 5173649650
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lansing, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
156 Specialists

Practicing in Lansing, MI (7057 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (4 Years) 4 Yrs
Lansing Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601011462

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

Edward W Sparrow Hospital Association

1140 E Michigan Ave, Lansing, MI 489121806

Phone: 5173649650

Practice Associates & Co-Workers

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

34 Associated Practitioners
Jessica Delcorvo , NP-C

Nurse Practitioner - Primary Care

NPI 1003223355

Nurse Practitioner (Certified)

Dr. Ali Sheikh , DO

Internal Medicine - Cardiovascular Disease

NPI 1013148048

Doctor of Osteopathic Medicine (D.O.)

Gregory Hayter , NP

Nurse Practitioner - Adult Health

NPI 1013222736

Nurse Practitioner

Brian Upper , PA

Physician Assistant

NPI 1073867172

Physician Assistant

Dr. Ranjan Thakur , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1093713885

Doctor of Medicine (M.D.)

Dr. Adnan Kassier , MD

Internal Medicine - Interventional Cardiology

NPI 1144575283

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 25, 2026

Registered at 1140 E MICHIGAN AVE STE 400, LANSING, MI 489121806 (Tel: 5173649650)

📍
Updated Business Mailing Address March 25, 2026

Registered at PO BOX 13008, LANSING, MI 489013008

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2026

Physician Assistant (License #5601011462 in MI)

📍
Updated Business Mailing Address June 02, 2025

Registered at 1509 OSBORN RD, LANSING, MI 489151282

👤
Provider Name / Credentials Updated June 02, 2025

Recorded as JACOB CLARK, PA-C

NPI Profile Active October 31, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2022

Registered at 1200 E MICHIGAN AVE STE 235, LANSING, MI 489121852 (Tel: 5173645858)

📍
Updated Business Mailing Address October 31, 2022

Registered at 1629 E MICHIGAN AVE APT 201, LANSING, MI 489122817

👤
Provider Name / Credentials Updated October 31, 2022

Recorded as JACOB HASKELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2022

Physician Assistant (License #5601011462APP22 in MI)

🟢
Initial NPI Registration & Enumeration October 31, 2022

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: 1972210920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2022
Last Update: March 25, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 13008

Lansing, MI 489013008

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.