Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Michael Blake Jacob, PA-C

Physician Assistant in Plymouth, MN · enumerated 2017.

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

National Provider Identifier

1821502154

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Registry record

Entity type Individual (Type 1)

Name Mr. Michael Blake Jacob

Credential PA-C

Sex Male

Practice address 2855 Campus Dr, Plymouth, MN, 55441

Phone (763) 577-7000

Enumeration date Nov 22, 2017

Last updated in NPPES Mar 11, 2021

Taxonomy & licenses

207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians · License 12595 (MN) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 12593 (MN) 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

How do I verify Michael Jacob's NPI record?

Cross-check NPI 1821502154 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1821502154 active?

Yes, as of the latest NPPES snapshot, NPI 1821502154 is active (record last updated 2021-03-11).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-11.