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Jacob Nicholas Clark , PA-C

Physician Assistant β€’ Lansing, MI

Active NPI 1972210920 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1140 E Michigan Ave Ste 400
Lansing, MI 489121806

Call 5173649650 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1140 E Michigan Ave Ste 400

Lansing, MI 489121806

Telephone 5173649650
Organization at the Same NPPES Address or Phone
Edward W Sparrow Hospital Association Facility NPI 1245737402

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Edward W Sparrow Hospital Association. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

30-day fills

248 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$18,410 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $142.82 across 7 records.

By nature of payment

  • Food and Beverage: $142.82 across 7 records.

Reporting-company totals (3 largest of 6)

  • W. L. Gore & Associates, Inc.: $39.91 across 2 records.
  • LeMaitre Vascular, Inc.: $35.29 across 1 record.
  • Ethicon Inc.: $24.32 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacob Clark has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacob Clark as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lansing and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Lansing, MI (2024, 93 clinicians with data). Median for this group: 305. Middle half: 80 to 2,200.

Close to the middle for clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: 302. Middle half: 82 to 1,061.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Lansing, MI (2024, 93 clinicians with data). Median for this group: $8,454. Middle half: $687 to $344,802.

Close to the middle for clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: $6,107. Middle half: $669 to $117,415.

154 active clinicians are listed under Physician Assistant with a practice address in Lansing, MI (6,989 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lansing

14.3% of these 154 clinicians have the CMS telehealth indicator.

55.8% of these 154 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $142.82.

Manufacturer Payment Nature Product Type Amount ($)
LeMaitre Vascular, Inc.
Food and Beverage
Cash or cash equivalent
ARTEGRAFT VASCULAR GRAFT General $35.29
Ethicon Inc.
Food and Beverage
In-kind items and services
VISTASEAL General $24.32
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE TAG Thoracic Branch Endoprosthesis General $21.33
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE EXCLUDER Iliac Branch Endoprosthesis General $18.58
Abbott Laboratories
Food and Beverage
In-kind items and services
ESPRIT General $14.86
Becton, Dickinson and Company
Food and Beverage
In-kind items and services
HemoSphere General $14.66
Medtronic, Inc.
Food and Beverage
In-kind items and services
AVALUS General $13.78

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clopidogrel Clopidogrel Bisulfate 84 3,553 $839.81 23
Eliquis Apixaban 32 930 $17,196.62 15
Atorvastatin Calcium Atorvastatin Calcium 23 930 $139.75 14
Tramadol Hcl Tramadol Hcl 20 47 $24.81 20
Amiodarone Hcl Amiodarone Hcl 17 155 $145.56 13
Metoprolol Tartrate Metoprolol Tartrate 16 540 $42.68 β€”
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 12 22 $21.11 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601011462

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20221207003090

Enrollment State Jurisdiction

MI

PECOS Control ID

7012386378

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Edward W Sparrow Hospital Association

1140 E Michigan Ave, Lansing, MI 489121806

Phone: 5173649650

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
Dr. Hossam Abubakar , MD

Internal Medicine - Cardiovascular Disease

NPI 1386095750

Doctor of Medicine (M.D.)

Dr. Appa Bandi , MD

Internal Medicine - Cardiovascular Disease

NPI 1386850709

Doctor of Medicine (M.D.)

Dr. Thomas Brown , DO

Internal Medicine - Cardiovascular Disease

NPI 1528066461

Doctor of Osteopathic Medicine (D.O.)

Dr. Mark Castellani , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1598763542

Doctor of Medicine (M.D.)

Dr. Nam Cho , DO

Internal Medicine - Interventional Cardiology

NPI 1255339263

Doctor of Osteopathic Medicine (D.O.)

Jennifer Churchill , MSN

Nurse Practitioner - Acute Care

NPI 1518443514

Master of Science in Nursing

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location March 25, 2026

Registered at 1140 E MICHIGAN AVE STE 400, LANSING, MI 489121806 (Tel: 5173649650)

πŸ“
Updated Business Mailing Address March 25, 2026

Registered at PO BOX 13008, LANSING, MI 489013008

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2026

Physician Assistant (license number reported to NPPES: MI 5601011462)

πŸ“
Updated Business Mailing Address June 02, 2025

Registered at 1509 OSBORN RD, LANSING, MI 489151282

πŸ‘€
Provider Name / Credentials Updated June 02, 2025

Recorded as JACOB CLARK, PA-C

βœ…
NPI Profile Active October 31, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 31, 2022

Registered at 1200 E MICHIGAN AVE STE 235, LANSING, MI 489121852 (Tel: 5173645858)

πŸ“
Business Mailing Address (Initial Record) October 31, 2022

Registered at 1629 E MICHIGAN AVE APT 201, LANSING, MI 489122817

πŸ‘€
Provider Name / Credentials (Initial Record) October 31, 2022

Recorded as JACOB HASKELL, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2022

Physician Assistant (license number reported to NPPES: MI 5601011462APP22)

🟒
Initial NPI Registration & Enumeration October 31, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972210920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2022
Last Update: March 25, 2026
Sole Proprietor: Yes

Other Physician Assistants in Lansing

All Physician Assistants in Lansing

Mailing Address

Po Box 13008

Lansing, MI 489013008

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.