JEFFRY ALAN JACOBS MEDICAL DOCTOR
NPI 1063477545
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Joseph, MO

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
3608 FARAON ST, SAINT JOSEPH, MO 64506(816) 232-4417 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Jun 8, 2022, Oct 2, 2015 (3 updates tracked since 2015).

About Jeffry Alan Jacobs Medical Doctor NPPES

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

JEFFRY ALAN JACOBS MEDICAL DOCTOR (NPI 1063477545) is an individual child & adolescent psychiatry provider in Saint Joseph, Missouri, licensed in Missouri (2022007260) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of New Mexico School Of Medicine (1999).

NPPES Registry Identity

NPI1063477545
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJEFFRY ALAN JACOBSCredential: MEDICAL DOCTOR
Location Address3608 FARAON STSaint Joseph, MO 64506-3044
Mailing Address12932 Orchard Crossing LnKnoxville, TN 37934-1222 · (865) 202-2209 · Fax (865) 321-8900
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1999
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
NPI 1063477545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in MO · 2022007260 Licensed in WA · MD60579729
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 35908KY (KY), MD38701 (TN)
3608 FARAON ST, Saint Joseph, MO 64506

Secondary Practice Locations 2

Location 1402 S 4th Ave, Central Washington Comprehensive Mental HealthYakima, WA 98902 · Phone (509) 575-4084 · Fax (509) 576-4302
Location 21170 Pearl StEugene, OR 97401-3541 · Phone (541) 743-4340

Other Identifiers 1

Medicaid200108213MO

Accepted Insurance

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

Jeffry Alan Jacobs Medical Doctor 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 ID7113961012
PECOS Enrollment IDI20231222002631
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.

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.

Psychiatry & Neurology (Psychiatry)
3608 FARAON ST
SAINT JOSEPH, MO 64506
Social Worker (Clinical)
3608 FARAON ST
SAINT JOSEPH, MO 64506
Dental Hygienist
3608 FARAON ST
SAINT JOSEPH, MO 64506
Dentist
3608 FARAON ST
SAINT JOSEPH, MO 64506
Dentist (General Practice)
3608 FARAON ST
SAINT JOSEPH, MO 64506
Dentist (General Practice)
3608 FARAON ST
SAINT JOSEPH, MO 64506
Dental Hygienist
3608 FARAON ST
SAINT JOSEPH, MO 64506
Social Worker
3608 FARAON ST
SAINT JOSEPH, MO 64506

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 Jeffry Jacobs's NPI number?

The NPI number for Jeffry Jacobs is 1063477545. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Jeffry Jacobs located?

Jeffry Jacobs practices at 3608 Faraon St, Saint Joseph, MO 64506. The listed phone number is (816) 232-4417.

What is Jeffry Jacobs's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jeffry Jacobs enrolled in Medicare?

Yes. Jeffry 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.

What insurance does Jeffry Jacobs accept?

Health plans from BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Jeffry Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffry Jacobs was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.