Jacob Anthony Lorsung, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

099740 Issued in IA

Practice address

3405 Lake Ridge Dr
Dubuque, IA 52003-7800

Phone

(563) 900-8922

Fax

(563) 279-0653

NPI assigned

Jan 22, 2020

Last updated

Jul 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Des Moines Dermatology PCGroup PAC ID 2466344775, 3 clinicians

Driftless Skin Center, P.C.Group PAC ID 3274971098, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.85 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

79.49

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.lorsung@gdmd.eclinicaldirectplus.com

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.

• Greater Des Moines Dermatology PC

  • Dermatology Physician
  • Urbandale, IA
  • NPI 1730188160
  Medicare reassignment Care Compare group
• Driftless Skin Center, P.C.

  • Medical Physician Assistant
  • Dubuque, IA
  • NPI 1871350868
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1861022568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 PRIMROSE DR",
            "city": "HUDSON",
            "state": "IA",
            "postal_code": "506432232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 LAKE RIDGE DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037800",
            "telephone_number": "563-900-8922",
            "fax_number": "563-279-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORSUNG",
        "first_name": "JACOB",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "099740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Michael Lombardi, P.A.- C.
• Loren G. Longenecker, M.D.
• Charles A Longo, M.D.
• Jane D Lorber, RN
• Lorraine Jane Lorenz, MS, RD, LD
• Hunter Loveridge
• Kevin Wayne Lovold
• Lowell R. Routley, PH.D. P.C. (TRC Counseling Associates PC)
• Logan Ludlum
• Beth Ludovissy, DPT

• Dermatology Physician in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.