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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Jacob Smith, PA-C, ATC

Physician Assistant in Bloomington, IL · enumerated 2014 · practices at Carle West Physician Group Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548675945

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Registry record

Entity type Individual (Type 1)
Name Mr. Jacob Smith
Credential PA-C, ATC
Sex Male
Practice address Bloomington, IL, 61704
Enumeration date Jun 24, 2014
Last updated in NPPES Mar 30, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085008559 (IL) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085008559 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jacob Smith practice?
The practice location on file with NPPES is in Bloomington, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jacob Smith?
The National Provider Identifier (NPI) for Jacob Smith is 1548675945, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-30.