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JACOB ROBERTS
NPI 1023993094
Nurse Practitioner - Family in Coweta, OK

Active since August 08, 2025PECOS EnrolledAccepts Medicare Assignment
27427 E 109TH ST S, COWETA, OK 74429(918) 617-1978 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Aug 8, 2025 (2 updates tracked since 2025).

About Jacob Roberts NPPES

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

JACOB ROBERTS (NPI 1023993094) is an individual family provider in Coweta, Oklahoma, licensed in Oklahoma (225438) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023993094
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB ROBERTS
Location Address27427 E 109TH ST SCoweta, OK 74429-3442
Mailing Address27427 E 109th St SCoweta, OK 74429-3442
Phone(918) 617-1978
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 8, 2025
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1023993094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 225438
27427 E 109TH ST S, Coweta, OK 74429
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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

Jacob Roberts 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 ID3779066451
PECOS Enrollment IDI20260311001163, I20260311001620
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacob Roberts's NPI number?

The NPI number for Jacob Roberts is 1023993094. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Jacob Roberts located?

Jacob Roberts practices at 27427 E 109th St S, Coweta, OK 74429. The listed phone number is (918) 617-1978.

What is Jacob Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Roberts enrolled in Medicare?

Yes. Jacob Roberts 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 Jacob Roberts was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.