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CRISTINE JACOB
NPI 1073345815
Nurse Anesthetist, Certified Registered in Miami, FL

Active since August 19, 2024PECOS Enrolled
700 SW 107TH AVE # 1113, MIAMI, FL 33174(954) 593-0105 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Jul 24, 2026, Aug 19, 2024 (3 updates tracked since 2024).

About Cristine Jacob NPPES

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

CRISTINE JACOB (NPI 1073345815) is an individual nurse anesthetist, certified registered in Miami, Florida, licensed in Florida (APRN11037552) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1073345815
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCRISTINE JACOB
Location Address700 SW 107TH AVE # 1113Miami, FL 33174-1302
Mailing Address700 Sw 107th Ave # 1113Miami, FL 33174-1302 · (954) 593-0105
Phone(954) 593-0105
Sole ProprietorYes
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2024
Enumeration DateAugust 19, 2024
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1073345815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in FL · APRN11037552✔ Licensed in IL · 209031736✔ Licensed in NC · 008372
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
700 SW 107TH AVE # 1113, Miami, FL 33174
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Secondary Practice Location 1

Location 1Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-3245

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan of North Carolina, Inc, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cristine Jacob is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274047170
PECOS Enrollment IDI20250710003786, I20260820000067
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Cristine Jacob reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drs. Ellis, Rojas, Ross & Debs, Inc.
5.4 mi
Anesthesiology
8940 N KENDALL DR STE 201E
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 150 clinicians in this Medicare group
NPI 1427722636 (954) 939-5000
Wake Forest University Health Sciences
694 mi
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1639454499 (336) 716-2255
Clinical Colleagues LLC
1,194 mi
Anesthesiology
695 N KELLOGG ST
Galesburg, IL 61401
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
NPI 1316399967 (800) 494-3964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33174 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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 Cristine Jacob's NPI number?

The NPI number for Cristine Jacob is 1073345815. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Cristine Jacob located?

Cristine Jacob practices at 700 SW 107th Ave # 1113, Miami, FL 33174. The listed phone number is (954) 593-0105.

What is Cristine Jacob's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Cristine Jacob enrolled in Medicare?

Yes. Cristine Jacob is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cristine Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cristine Jacob reassigns Medicare benefits to 3 organizations: Drs. Ellis, Rojas, Ross & Debs, Inc. (Miami, FL), Wake Forest University Health Sciences (Lexington, NC) and Clinical Colleagues LLC (Galesburg, IL). 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 Cristine Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cristine Jacob accept?

Health plans from Molina Healthcare, Oscar Health Plan of North Carolina, Inc and Wellmark Health Plan of Iowa, Inc. list Cristine Jacob 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.

Is Cristine Jacob affiliated with any hospitals?

According to CMS data, Cristine Jacob is affiliated with Trinity Rock Island and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Cristine Jacob was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.