JACOB L EDELMAN (P.A.) – Physician Assistant, NPI 1346757150

JACOB L EDELMAN (P.A.) is a healthcare provider. based in Manhattan, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. The NPI Number for JACOB L EDELMAN (P.A.) is 1346757150

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JACOB L EDELMAN (P.A.)
NPI
1346757150
Phone
(785) 537-4200
Address
1600 CHARLES PL
Enumeration Date
2 January 2018
Last Update Date
5 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7855374200
Graduation Year
2017 (9 years ago)
PAC ID
2365704178
Group Practice PAC ID
4284532748
Professional Enrollment ID
I20180314001702
Address ID
KS665022750MA1600XPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for JACOB L EDELMAN (P.A.)

  • 1600, Charles Place, Manhattan, Riley County, Kansas, 66502, United States

    MANHATTAN, KS 665022750

    Phone: (785) 537-4200

    Fax: (785) 537-4354

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Vericel Corporation ($202).

Total Amount

$222

General + Research + Ownership

Payments

11

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180314001702IPhysician AssistantKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg826107$0
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg51011$0
20610Aspiration and/or injection of fluid from large joint190105$0
99213Established patient office or other outpatient visit, 20-29 minutes188162$0
73562X-ray of knee, 3 views12691$0
View full utilization report →

Insurance plans in this area (ZIP 66502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284532748View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Orthopedic Surgery, Sports MedicineKS
Physical Therapist In Private PracticeKS
-KS
Orthopedic SurgeryKS
Physician AssistantKS
Nurse PractitionerKS
Physical Therapist In Private PracticeKS
Orthopedic Surgery, Sports MedicineKS

Reviews

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Frequently asked questions

Does JACOB L EDELMAN (P.A.) have a public NPI I can cite?
Public records show JACOB L EDELMAN (P.A.) under NPI 1346757150.
Is JACOB L EDELMAN (P.A.) currently accepting referrals based on NPI status?
Registry metadata lists JACOB L EDELMAN (P.A.) as active.
Which specialty label fits JACOB L EDELMAN (P.A.)?
NPPES ties JACOB L EDELMAN (P.A.) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JACOB L EDELMAN (P.A.)?
The directory associates JACOB L EDELMAN (P.A.) with Manhattan, Kansas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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