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LENA JACOB PA-C
NPI 1104214402
Physician Assistant in Dallas, TX

Active since January 08, 2015PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
2280 INWOOD RD, DALLAS, TX 75390(214) 645-8525 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2024, Sep 6, 2024, Dec 16, 2015 (3 updates tracked since 2015).

About Lena Jacob Pa-c NPPES

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

LENA JACOB PA-C (NPI 1104214402) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA09496) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104214402
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLENA JACOBCredential: PA-C
Location Address2280 INWOOD RDDallas, TX 75390-4009
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (214) 645-8525
Phone(214) 645-8525
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 8, 2015
Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1104214402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA09496
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.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License PA09496 (TX)
2280 INWOOD RD, Dallas, TX 75390
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Other Names 1

Former Name (1)Lena Abraham Pa-c

Secondary Practice Locations 2

Location 11515 Holcombe BlvdHouston, TX 77030-4009 · Phone (713) 792-6161
Location 25323 Harry Hines BlvdDallas, TX 75390-4009 · Phone (214) 645-8525

Other Identifiers 2

Other8844NUTX · Bcbs
Medicaid355290301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, 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 and accepts Medicare assignment

Lena Jacob Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133444565
PECOS Enrollment IDI20150206000281
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.

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims405 services$0.33 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers18 claims18 services$18.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lena Jacob's NPI number?

The NPI number for Lena Jacob is 1104214402. It was assigned to this individual provider in the NPPES registry on January 8, 2015. The provider is also known as Lena Abraham Pa-C.

Where is Lena Jacob located?

Lena Jacob practices at 2280 Inwood Rd, Dallas, TX 75390. The listed phone number is (214) 645-8525.

What is Lena Jacob's specialty?

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

Is Lena Jacob enrolled in Medicare?

Yes. Lena Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lena Jacob accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Lena 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 Lena Jacob affiliated with any hospitals?

According to CMS data, Lena Jacob is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Lena Jacob was last updated on December 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.