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Active NPI 1700993227 Individual Practitioner Male Practitioner

Michael A Jacobs , PA-C

Physician Assistant • Kenosha, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Jacobs, PA-C is a certified Physician Assistant practicing in Kenosha, WI. With approximately 27 years of clinical experience since completing medical education in 1999, Michael Jacobs delivers high-quality medical care to the local community at 10400 75TH ST.

Michael Jacobs is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10400 75th St

Kenosha, WI 531427884

Telephone 2629487080
Fax 2629487328
Associated Practice Facility / Clinic
🏢 Mea-Aea Kenosha Sc Facility NPI 1477546737

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kenosha, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +12.4 yrs vs City Avg
City Avg: 14.6 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
45 Specialists

Practicing in Kenosha, WI (3517 Statewide)

Telehealth Adoption Rate
13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobs (27 Years) 27 Yrs
Kenosha Specialty Average (14.6 Years) 14.6 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
78 44 $515.00 $101.34
99213 Established patient office or other outpatient visit, typically 15 minutes
66 43 $350.00 $72.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
34 34 $360.00 $103.64
G0008 Administration of influenza virus vaccine
18 18 $65.00 $30.42
83036 Hemoglobin A1C level
18 13 $80.00 $9.52
90662 Influenza vaccine split virus, preservative free
16 16 $125.00 $81.82
93000 Routine ekg using at least 12 leads including interpretation and report
12 12 $190.00 $11.29

Medical Specialties & State Licenses

CMS Verified: 2025-09-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 1170-023

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42987800 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Michael Rizzo , MD

Family Medicine

NPI 1023125374

Doctor of Medicine (M.D.)

Dr. Paul Capelli , MD

Family Medicine

NPI 1093724130

Doctor of Medicine (M.D.)

Dr. Vincent Rizzo , MD

Family Medicine

NPI 1205943552

Doctor of Medicine (M.D.)

Dr. Muhammad Khan , MD

Family Medicine

NPI 1447367974

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Business Mailing Address September 16, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location August 26, 2019

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

📍
Updated Business Mailing Address August 26, 2019

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2018

Registered at 11725 N PORT WASHINGTON RD STE 250, MEQUON, WI 530923486 (Tel: 2622409640)

📍
Updated Business Mailing Address January 25, 2018

Registered at 11725 N PORT WASHINGTON RD STE 250, MEQUON, WI 530923486 (Tel: 2622409640)

👤
Provider Name / Credentials Updated January 25, 2018

Recorded as MICHAEL JACOBS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Physician Assistant (License #1170-023 in WI)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 10400 75TH ST, KENOSHA, WI 53142 (Tel: 2626977000)

📍
Updated Business Mailing Address July 09, 2007

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4146476326)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL JACOBS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #1170-023 in WI)

🟢
Initial NPI Registration & Enumeration August 23, 2006

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: 1700993227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: September 16, 2025
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.