Jacob Nathaniel Shank, PA-C, MSPA
NPI 1649765306ActiveIndividual· Physician Assistant· Fishersville, VA
Physician Assistant (PA-C, MSPA) in Fishersville, Virginia, with an NPI issued in June 2018. 281 Medicare patients in 2024, $40,422 paid; nearly all of their 1,090 Part D prescriptions were generic (93%). Abbvie Inc. was the largest of 7 companies reporting payments in 2025, $221.52 in all, mostly food and beverage.
Overview
| NPI | 1649765306 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, MSPA |
| Sole proprietor | No |
| NPI issued | Jun 26, 2018 |
| Last updated in NPPES | Sep 3, 2022 |
| Certified by provider | Sep 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 281 |
|---|---|
| Services billed | 1,075 across 56 procedure codes |
| Paid by Medicare | $40,422 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,090 · 1,740 30-day fills |
|---|---|
| Patients | 296 |
| Total drug cost | $42,291 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
- 2025$221.52 · 11 payments from 7 companies
- 2024$381.86 · 22 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $90.63 | 4 |
| Merck Sharp & Dohme LLC | $38.34 | 2 |
| Exact Sciences Corporation | $23.78 | 1 |
| Pfizer Inc. | $19.19 | 1 |
| Novo Nordisk Inc | $17.69 | 1 |
What the 2025 payments were for
- Food and Beverage$221.52 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 74 physician assistants in Fishersville · All physician assistants in Virginia