Jacob Johnston Nolan, PA-C
NPI 1689275000ActiveIndividual· Physician Assistant· Goshen, IN
Physician Assistant (PA-C) with Maple City Health Care Center Inc, practicing in Goshen, Indiana. In 2024 Medicare paid $9,548 for 121 patients, and Part D covered 197 of their prescriptions, 84% of them generic. Lists Goshen Hospital as a hospital affiliation.
Overview
| NPI | 1689275000 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 3, 2020 |
| Last updated in NPPES | Apr 21, 2023 |
| Certified by provider | Apr 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10002996A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 222 across 37 procedure codes |
| Paid by Medicare | $9,548 |
Part D prescriptions in 2024
| Prescriptions (claims) | 197 · 202 30-day fills |
|---|---|
| Patients | 136 |
| Total drug cost | $1,622 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Maple City Health Care Center IncGoshen, IN · 29 clinicians
Hospital affiliation
- Goshen HospitalGoshen, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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