Jacob L. Runyan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1775 Issued in NE

Practice address

305 N 37TH St
Norfolk, NE 68701-3275

Phone

(402) 370-4100

Fax

(402) 370-4101

NPI assigned

Oct 28, 2013

Last updated

Sep 29, 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera St Anthonys HospitalGroup PAC ID 4486548203, shared by 5 NPIs, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera St Anthony's Hospital Hospital, O' Neill, NE, CCN 281329

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.runyan@avera.sdhealthlink.net

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.

• Twin Rivers Urgent Care LLC

  • Family Medicine Physician
  • Grand Island, NE
  • NPI 1639248560
  Medicare reassignment NPD
• West Holt Memorial Hospital

  dba West Holt Medical Clinic

  • General Practice Physician
  • Atkinson, NE
  • NPI 1366492472
  Medicare reassignment NPD
• Avera St Anthonys Hospital

  • Certified Registered Nurse Anesthetist
  • O'Neill, NE
  • NPI 1043223654
  Medicare reassignment NPD (past)
• Avera St Anthonys Hospital

  • Critical Access Hospital
  • O'Neill, NE
  • NPI 1891738936
  Medicare reassignment
• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment
• Sunny Meadow Medical Clinic PC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1255619003
  Medicare reassignment
• Avera St Anthonys Hospital

  dba Avera Medical Group Spencer

  • Rural Health Clinic/Center
  • Spencer, NE
  • NPI 1629344692
  NPD
• Avera St Anthonys Hospital

  dba Avera Medical Group O'Neill

  • Rural Health Clinic/Center
  • O'Neill, NE
  • NPI 1861787194

  Family Medicine

  NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD
• Twin Rivers Urgent Care LLC

  dba Twin Rivers Sports & Family Medicine

  • Family Medicine Physician
  • Grand Island, NE
  • NPI 1588310338
  NPD
• West Holt Memorial Hospital

  dba West Holt Pharmacy

  • Community/Retail Pharmacy
  • Atkinson, NE
  • NPI 1811913767
  NPD
• Ainsworth Family Clinic, P.C.

  • Internal Medicine Physician
  • Ainsworth, NE
  • NPI 1083632533

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera St Anthonys Hospital

  • Critical Access Hospital
  • O'Neill, NE
  • NPI 1891738936
  Care Compare affiliation

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1881022960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800070",
            "telephone_number": "402-924-3777",
            "fax_number": "402-924-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013275",
            "telephone_number": "402-370-4100",
            "fax_number": "402-370-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 E Zero St",
            "address_purpose": "LOCATION",
            "city": "Ainsworth",
            "state": "NE",
            "postal_code": "692101556",
            "country_code": "US",
            "telephone_number": "402-387-1900",
            "fax_number": "402-387-0139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W 2nd St # 70",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "NE",
            "postal_code": "687801701",
            "country_code": "US",
            "telephone_number": "402-924-3777",
            "fax_number": "402-924-3776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E South St # 146",
            "address_purpose": "LOCATION",
            "city": "Bassett",
            "state": "NE",
            "postal_code": "687145508",
            "country_code": "US",
            "telephone_number": "402-684-2285",
            "fax_number": "402-684-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 E 5th St # 403",
            "address_purpose": "LOCATION",
            "city": "Atkinson",
            "state": "NE",
            "postal_code": "687134885",
            "country_code": "US",
            "telephone_number": "402-925-2994",
            "fax_number": "402-925-2996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "JACOB",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2026-09-29",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1775",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsfh@gsfh.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "418 E 5th St # 403",
            "city": "Atkinson",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687134885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Jade Rubeck
• Shelly L Rudloff, LIMHP
• Holly Ruge
• Mayra Ruiz Espino
• Saomara Ruiz
• Ronelle Lynn Ruppert, APRN
• Bethany Alison Rupprecht
• Bridget Emily Rupprecht
• Jessika Ruroede
• Julie Rusk, RN

• Physician Assistant in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.