Jacob L Runyan, PA-C - Medicare Physician Assistant in Norfolk, NE

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Jacob L Runyan, PA-C is a medicare enrolled "Physician Assistant" in Norfolk, Nebraska. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Avera St Anthonys Hospital and his current practice location is 305 N 37th St, Norfolk, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 370-4100.

Jacob L Runyan is licensed to practice in Nebraska (license number 1775) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881022960.

Contact Information

Jacob L Runyan, PA-C
305 N 37th St,
Norfolk, NE 68701-3275
(402) 370-4100
(402) 370-4101

Map and Direction




Provider's Profile

Full NameJacob L Runyan
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location305 N 37th St, Norfolk, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob L Runyan graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1881022960
  • Provider Enumeration Date: 10/28/2013
  • Last Update Date: 09/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2163650078
  • Enrollment ID: I20140122000235

Medical Identifiers

Medical identifiers for Jacob L Runyan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881022960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1775 (Nebraska)Primary
207Q00000XFamily Medicine 1775 (Nebraska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera St Anthony's HospitalO' neill, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera St Anthonys Hospital448654820323

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob L Runyan allows following entities to bill medicare on his behalf.
Entity NameAvera St Anthonys Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043223654
PECOS PAC ID: 4486548203
Enrollment ID: O20040212000065
Entity NameWest Holt Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366492472
PECOS PAC ID: 2264419878
Enrollment ID: O20040701000936
Entity NameFaith Regional Physician Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265489157
PECOS PAC ID: 5193786168
Enrollment ID: O20041022000558
Entity NameTwin Rivers Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639248560
PECOS PAC ID: 6406860543
Enrollment ID: O20060127000662
Entity NameAvera St Anthonys Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1891738936
PECOS PAC ID: 4486548203
Enrollment ID: O20071128000149
Entity NameSunny Meadow Medical Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255619003
PECOS PAC ID: 9830360122
Enrollment ID: O20110916000285

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob L Runyan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob L Runyan, PA-C
Po Box 70,
Stuart, NE 68780-0070

Ph: (402) 924-3777		Jacob L Runyan, PA-C
305 N 37th St,
Norfolk, NE 68701-3275

Ph: (402) 370-4100

Reviews and Comments


Physician Assistant Nurses in Norfolk, NE

Ms. Jeana Kay Ahlers, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 305 N 37th St, Norfolk, NE 68701
Phone: 402-370-4100    Fax: 402-370-4101
Derek L Howell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 110 N 29th St, Suite 302, Norfolk, NE 68701
Phone: 402-844-8242    Fax: 402-844-8233
Mr. Brett Milan Loseke, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1410 N 13th St, Norfolk, NE 68701
Phone: 402-371-0123    
Nicole Marie Owens, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2701 W. Norfolk Ave, Norfolk, NE 68701
Phone: 402-844-8287    Fax: 402-844-8288
Ashley D Krohn, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 305 N 37th St, Norfolk, NE 68701
Phone: 402-370-4100    Fax: 402-370-4101
Lindsay Bernice Peplinski, MPAS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2701 W Norfolk Ave Fl 2, Norfolk, NE 68701
Phone: 408-844-8291    
Clint Whitwer, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1410 North 13th Street, Norfolk, NE 68701
Phone: 402-371-0797    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.