DR. AMANDA MCNEAR JACOBS M.D.
NPI 1003016411
Pediatrics - Adolescent Medicine in Hawthorne, NY
About Dr. Amanda Mcnear Jacobs M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA MCNEAR JACOBS M.D. (NPI 1003016411) is an individual adolescent medicine provider in Hawthorne, New York, licensed in New York (218283) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Amanda Mcnear Jacobs M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Amanda Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hawthorne, NY 10532
- Reassigned Medicare billing, New York enrollment
- 511 clinicians in this Medicare group
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amanda Jacobs's NPI number?
The NPI number for Amanda Jacobs is 1003016411. It was assigned to this individual provider in the NPPES registry on July 23, 2007.
Where is Amanda Jacobs located?
Amanda Jacobs practices at 40 Saw Mill River Rd Suite Ll4, Division Of Adolescent Medicine, Hawthorne, NY 10532. The listed phone number is (914) 304-5288.
What is Amanda Jacobs's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Amanda Jacobs enrolled in Medicare?
Yes. Amanda Jacobs is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amanda Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jacobs reassigns Medicare benefits to 2 organizations: Boston Children's Health Physicians, LLP (Hawthorne, NY) and Montefiore Medical Center (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Jacobs was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Amanda Mcnear Jacobs, M.D. · NPI 1003016411
Adolescent Medicine physician in Hawthorne, New York. Individual provider, active in the CMS NPPES registry since July 23, 2007.
## Identity
- **NPI:** 1003016411 (Entity type: Individual)
- **Enumerated:** July 23, 2007
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 218283 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 40 SAW MILL RIVER RD, SUITE LL4, DIVISION OF ADOLESCENT MEDICINE, Hawthorne, NY 10532-1535
- **Phone:** (914) 304-5288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Boston Children's Health Physicians, LLP (NPI 1467454967, Hawthorne, NY); Montefiore Medical Center (NPI 1063525152, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1003016411) · Data from the CMS NPPES public registry.