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JACOB MICHAEL HUBBARD FNP
NPI 1104387992
Nurse Practitioner in Abingdon, VA

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
17938 GLENWOOD DR, ABINGDON, VA 24211(423) 647-8882 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Michael Hubbard Fnp NPPES

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

JACOB MICHAEL HUBBARD FNP (NPI 1104387992) is an individual nurse practitioner in Abingdon, Virginia, licensed in Virginia (0024176906) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Wythe County Community Hospital, and maintains a secondary practice location in Blountville.

NPPES Registry Identity

NPI1104387992
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJACOB MICHAEL HUBBARDCredential: FNP
Location Address17938 GLENWOOD DRAbingdon, VA 24211-5694
Mailing Address17938 Glenwood DrAbingdon, VA 24211-5694 · (423) 647-8882
Phone(423) 647-8882
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2019
Last NPPES UpdateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1104387992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024176906
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 25773 (TN)
17938 GLENWOOD DR, Abingdon, VA 24211
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Secondary Practice Location 1

Location 11913 Highway 394Blountville, TN 37617-5349 · Phone (423) 662-7002 · Fax (423) 662-7003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Michael Hubbard Fnp 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 ID8123448735
PECOS Enrollment IDI20201021000727
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

5

Medicare enrollment records show Jacob Hubbard reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC
83 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Southeastern Medical Group, PC
107 mi
Hospitalist
260 HOSPITAL DR
Brevard, NC 28712
  • Reassigned Medicare billing, Virginia enrollment
  • 9 clinicians in this Medicare group
NPI 1184669053 (828) 884-9111
Fast Pace Medical Clinic PLLC
281 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006
Emergency Coverage Services, PC
314 mi
Nurse Practitioner
1607 S LOCUST AVE
Lawrenceburg, TN 38464
  • Reassigned Medicare billing, Virginia enrollment
  • 85 clinicians in this Medicare group
NPI 1053351593 (931) 762-6571
Southeastern Intensivist Services PC
471 mi
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group
NPI 1912942665 (870) 733-3020

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

Hospital Affiliations CMS Care Compare

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

Wythe County Community Hospital

Acute Care Hospitals · Wytheville, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490111
Location600 West Ridge RoadWytheville, VA 24382 · Wythe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24211 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 Jacob Hubbard's NPI number?

The NPI number for Jacob Hubbard is 1104387992. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Jacob Hubbard located?

Jacob Hubbard practices at 17938 Glenwood Dr, Abingdon, VA 24211. The listed phone number is (423) 647-8882.

What is Jacob Hubbard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacob Hubbard enrolled in Medicare?

Yes. Jacob Hubbard 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.

Which organizations bill Medicare for Jacob Hubbard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Hubbard reassigns Medicare benefits to 5 organizations: Emergency Coverage, LLC (Newport, TN), Southeastern Medical Group, PC (Brevard, NC), Fast Pace Medical Clinic PLLC (Spring Hill, TN), Emergency Coverage Services, PC (Lawrenceburg, TN) and Southeastern Intensivist Services PC (West Memphis, AR). 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 Jacob Hubbard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacob Hubbard affiliated with any hospitals?

According to CMS data, Jacob Hubbard is affiliated with Wythe County Community Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Hubbard was last updated on September 17, 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.