1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MITCHELL JACOBS
NPI 1104568195
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since April 10, 2022PECOS Enrolled
900 S LIMESTONE ST 304, LEXINGTON, KY 40536(859) 323-2834 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitchell Jacobs NPPES

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

MITCHELL JACOBS (NPI 1104568195) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104568195
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMITCHELL JACOBS
Location Address900 S LIMESTONE ST 304Lexington, KY 40536-0001
Mailing Address900 S Limestone St 304Lexington, KY 40536-0001
Phone(859) 323-2834
Sole ProprietorNo
Enumeration DateApril 10, 2022
NPPES CertifiedApril 10, 2022
✔ NPI 1104568195 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.
900 S LIMESTONE ST 304, Lexington, KY 40536
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Jacobs 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.

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 Mitchell Jacobs's NPI number?

The NPI number for Mitchell Jacobs is 1104568195. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Mitchell Jacobs located?

Mitchell Jacobs practices at 900 S Limestone St 304, Lexington, KY 40536. The listed phone number is (859) 323-2834.

What is Mitchell Jacobs's specialty?

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

Is Mitchell Jacobs enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mitchell Jacobs was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.