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

Q: 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.

Q: What is Jeena Jacob's specialty?

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

Q: 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 14 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 14 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.