JACOB DANIELS (PA-C) – Physician Assistant, NPI 1265189161
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for JACOB DANIELS (PA-C)
10001 W INNOVATION DR STE 200
MILWAUKEE, WI 532264851
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Mailing
4365 PHEASANT RIDGE DR NE STE 106
BLAINE, MN 554494544
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $678.
Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.
Last reported payment date: 2023-04-05 • Largest payer in this snapshot: Advanced Bionics, LLC ($678).
Total Amount
$678
General + Research + Ownership
Payments
1
Total payment records
General Amount
$678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Advanced Bionics, LLC | $678 |
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: 2022-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220912003641 | I | Physician Assistant | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 31231 | Diagnostic exam of nasal passages using an endoscope | 32 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 31295 | Dilation of nasal sinus using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Otolaryngology, Sleep Medicine | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| O T O L A R Y N G O L O G Y | MN |
Reviews
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