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MRS. JEENA JACOB PNP
NPI 1073893731
Nurse Practitioner - Pediatrics in Dallas, TX

Active since August 25, 2011PECOS Enrolled
916 WYNNEWOOD SHP CTR, DALLAS, TX 75224(214) 941-7611 Get Directions Write a Review

NPPES record last updated: August 25, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jeena Jacob Pnp NPPES

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

MRS. JEENA JACOB PNP (NPI 1073893731) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (720013) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073893731
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JEENA JACOBCredential: PNP
Location Address916 WYNNEWOOD SHP CTRDallas, TX 75224-1833
Mailing Address2329 Amesbury DrMesquite, TX 75150-5805 · (214) 405-0724
Phone(214) 941-7611
Sole ProprietorYes
Enumeration DateAugust 25, 2011
✔ NPI 1073893731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 720013
916 WYNNEWOOD SHP CTR, Dallas, TX 75224
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

2

Medicare enrollment records show Jeena Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dallas Physician Medical Services For Children Inc
6.0 mi
Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group
NPI 1194153650 (214) 456-7000
University Of Texas Southwestern Medical Center At Dallas
6.1 mi
Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1083669766 (214) 645-0624

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75224 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 Jeena Jacob's NPI number?

The NPI number for Jeena Jacob is 1073893731. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Jeena Jacob located?

Jeena Jacob practices at 916 Wynnewood Shp Ctr, Dallas, TX 75224. The listed phone number is (214) 941-7611.

What is Jeena Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jeena Jacob enrolled in Medicare?

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

Which organizations bill Medicare for Jeena Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeena Jacob reassigns Medicare benefits to 2 organizations: Dallas Physician Medical Services For Children Inc (Dallas, TX) and University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). 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 Jeena Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeena Jacob accept?

Health plans from Blue Cross and Blue Shield of Texas list Jeena 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.

When was this NPI record last updated?

The NPPES record for Jeena Jacob was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.