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CARLEY A JACOBS PA-C
NPI 1093993560
Physician Assistant in Shelton, WA

Active since February 06, 2008PECOS Enrolled
2300 KATI CT STE A, SHELTON, WA 98584(360) 426-0955 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carley A Jacobs Pa-c NPPES

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

CARLEY A JACOBS PA-C (NPI 1093993560) is an individual physician assistant in Shelton, Washington, licensed in Virginia (0110002718) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1093993560
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLEY A JACOBSCredential: PA-C
Location Address2300 KATI CT STE AShelton, WA 98584-1926
Mailing AddressPo Box 1668Shelton, WA 98584-5001 · (360) 426-0955
Phone(360) 426-0955
Sole ProprietorNo
Enumeration DateFebruary 6, 2008
Last NPPES UpdateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1093993560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110002718
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2300 KATI CT STE A, Shelton, WA 98584
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Secondary Practice Location 1

Location 1761 S Main StWoodstock, VA 22664-1127 · Phone (540) 459-5112 · Fax (540) 459-3565

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Carley A Jacobs Pa-c 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 98584 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAREY R MARTENS DO
Obstetrics & Gynecology
2300 KATI CT STE A
SHELTON, WA 98584
Mason County (360) 426-0955

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 Carley Jacobs's NPI number?

The NPI number for Carley Jacobs is 1093993560. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is Carley Jacobs located?

Carley Jacobs practices at 2300 Kati Ct Ste A, Shelton, WA 98584. The listed phone number is (360) 426-0955.

What is Carley Jacobs's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carley Jacobs enrolled in Medicare?

Yes. Carley Jacobs is registered in the Medicare PECOS enrollment system.

What insurance does Carley Jacobs accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carley 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 Carley Jacobs was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.