WAYNE R JACOBS JR.
NPI 1003455163
Physician Assistant - Medical in Williamsport, PA

Active since January 06, 2020PECOS EnrolledAccepts Medicare Assignment
435 RIVER AVE, WILLIAMSPORT, PA 17701(866) 995-3937 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2021, Jan 6, 2020 (2 updates tracked since 2020).

About Wayne R Jacobs Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE R JACOBS JR. (NPI 1003455163) is an individual medical provider in Williamsport, Pennsylvania, licensed in Pennsylvania (MA061359) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003455163
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWAYNE R JACOBS JR.
Location Address435 RIVER AVEWilliamsport, PA 17701-3722
Mailing Address66 Enterprise BlvdAllenwood, PA 17810-9260 · (570) 538-6002
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 6, 2020
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
NPI 1003455163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA061359
435 RIVER AVE, Williamsport, PA 17701

Other Identifiers 1

Medicaid103739681PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Wayne R Jacobs Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981030657
PECOS Enrollment IDI20200129001578
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
334 services311 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
216 services138 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
78 services68 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
68 services66 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
62 services60 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
49 services49 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prosthetic/Orthotic Supplier
435 RIVER AVE
WILLIAMSPORT, PA 17701
Optometrist
435 RIVER AVE
WILLIAMSPORT, PA 17701
Durable Medical Equipment & Medical Supplies (Customized Equipment)
435 RIVER AVE
WILLIAMSPORT, PA 17701
Optometrist
435 RIVER AVE
WILLIAMSPORT, PA 17701
Physician Assistant (Medical)
435 RIVER AVE
WILLIAMSPORT, PA 17701
Ophthalmology
435 RIVER AVE
WILLIAMSPORT, PA 17701
Optometrist
435 RIVER AVE
WILLIAMSPORT, PA 17701
Optometrist
435 RIVER AVE
WILLIAMSPORT, PA 17701

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 Wayne Jacobs's NPI number?

The NPI number for Wayne Jacobs is 1003455163. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Wayne Jacobs located?

Wayne Jacobs practices at 435 River Ave, Williamsport, PA 17701. The listed phone number is (866) 995-3937.

What is Wayne Jacobs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Wayne Jacobs enrolled in Medicare?

Yes. Wayne Jacobs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wayne Jacobs was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.