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MARLENE DENISE JACOBO MD
NPI 1093500258
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since April 10, 2025PECOS Enrolled
55 LAKE AVENUE NORTH, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marlene Denise Jacobo Md NPPES

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

MARLENE DENISE JACOBO MD (NPI 1093500258) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093500258
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARLENE DENISE JACOBOCredential: MD
Location Address55 LAKE AVENUE NORTHWorcester, MA 01655
Mailing Address55 Lake Avenue NorthWorcester, MA 01655 · (508) 334-1000
Phone(508) 334-1000
Sole ProprietorNo
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1093500258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 LAKE AVENUE NORTH, Worcester, MA 01655
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlene Denise Jacobo Md 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.

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.

MAI-PHUONG THI TRAN PHARMD
Pharmacist
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 421-1900
NEIL J. KLUGER MD
Internal Medicine (Hematology & Oncology)
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-6276
SUMA CHANDRA KANNABIRAN MD
Radiology (Diagnostic Radiology)
55 LAKE AVENUE NORTH, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-1000
DISHA DALELA MD
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1000
DR. LEORA BETH BALSAM M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 LAKE AVENUE NORTH, DEPARTMENT OF SURGERY
WORCESTER, MA 01655
Worcester County (508) 334-2577
DR. KATHERINE HENDREN ROSE MD
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 856-3590
KIMBERLY MAI ZAYHOWSKI MS
Genetic Counselor, MS
55 LAKE AVENUE NORTH, DEPARTMENT OF GENETICS; BENEDICT BUILDING 3RD FLOOR
WORCESTER, MA 01655
Worcester County (774) 442-6660
DR. NATASHA LYNN BRZOSKA DNP
Nurse Practitioner
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1975

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 Marlene Jacobo's NPI number?

The NPI number for Marlene Jacobo is 1093500258. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Marlene Jacobo located?

Marlene Jacobo practices at 55 Lake Avenue North, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Marlene Jacobo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marlene Jacobo enrolled in Medicare?

Yes. Marlene Jacobo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marlene Jacobo was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.