JEFFRY ALAN JACOBS MEDICAL DOCTOR
NPI 1063477545
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Joseph, MO
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
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jeffry Jacobs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cottage Grove, OR 97424
- Reassigned Medicare billing, Oregon and Tennessee enrollments
- Also billed through NPI 1609142595 (Oregon)
- 113 clinicians in this Medicare group
Springfield, OR 97477
- Reassigned Medicare billing, Oregon and Tennessee enrollments
- Also billed through NPI 1447207287 (Tennessee)
- 412 clinicians in this Medicare group
Florence, OR 97439
- Reassigned Medicare billing, Oregon and Tennessee enrollments
- Also billed through NPI 1356459606 (Oregon), NPI 1982774378 (Tennessee)
- 117 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Jeffry Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffry Jacobs reassigns Medicare benefits to 3 organizations: Peacehealth (Cottage Grove, OR), Peacehealth Medical Group (Springfield, OR) and Peacehealth (Florence, OR). 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 Jeffry Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffry Jacobs accept?
Health plans from BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Kaiser Permanente 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.
# Jeffry Alan Jacobs, MEDICAL DOCTOR · NPI 1063477545
Child & Adolescent Psychiatry physician in Saint Joseph, Missouri. Individual provider, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1063477545 (Entity type: Individual)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 2022007260 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3608 FARAON ST, Saint Joseph, MO 64506-3044
- **Phone:** (816) 232-4417
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Peacehealth (NPI 1902892391, Cottage Grove, OR); Peacehealth Medical Group (NPI 1881860856, Springfield, OR); Peacehealth (NPI 1578552402, Florence, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 25, 2024
- **Other identifiers:** Medicaid 200108213 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1063477545) · Data from the CMS NPPES public registry.