NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jacob M. Fraker, P.A.

Physician Assistant in South Bend, IN · enumerated 2005.

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

National Provider Identifier

1770565723

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Mr. Jacob M. Fraker
Credential P.A.
Sex Male
Practice address 53880 Carmichael Dr, South Bend, IN, 46635
Fax (574) 247-9442
Enumeration date Nov 16, 2005
Last updated in NPPES Sep 3, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10000686A (IN) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jacob Fraker practice?
The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jacob Fraker?
The National Provider Identifier (NPI) for Jacob Fraker is 1770565723, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-03.