Jacob Mahnke

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

448 N Werth Blvd
Newberg, OR 97132-7500

Phone

(503) 554-2521

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jake Mahnke Other name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nerve and Pain Institute LLCGroup PAC ID 7911321666, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nerve and Pain Institute LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Tigard, OR
  • NPI 1164047486
  Medicare reassignment Care Compare group NPD
• George Fox University Physical Therapy Community Clinic

  • Physical Therapist
  • Newberg, OR
  • NPI 1760841308
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1801663067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 SE 182ND CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838269",
            "telephone_number": "360-831-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 N WERTH BLVD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327500",
            "telephone_number": "503-554-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHNKE",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "MAHNKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Audrey Margareth Lusby, DC
• Eva Rose Lutz, L.M.T.
• Deanna Lyda
• Ann Marie Macasa, MD
• Jesse Angel Macias
• Brittannee Mahoney
• Rick Mai
• Saiko Mair, MS, ATC
• Jacob Malpass, D.C.
• Maya Jane Manka, M.D.

• Physician Assistant in Newberg, OR
• Providers in Newberg, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.