MS. SUSAN SLOAN JACOBY APRN
NPI 1124050273
Nurse Practitioner - Psychiatric/Mental Health in Purchase, NY

Q: What is Susan Jacoby's NPI number?

The NPI number for Susan Jacoby is 1124050273. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Susan Jacoby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Susan Jacoby was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

3030 WESTCHESTER AVE, PURCHASE, NY 10577(914) 848-8030(914) 848-8031 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Susan Sloan Jacoby Aprn NPPES

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

MS. SUSAN SLOAN JACOBY APRN (NPI 1124050273) is an individual psychiatric/mental health provider in Purchase, New York, licensed in New York (402856) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1124050273

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. SUSAN SLOAN JACOBYCredential: APRN

Location Address3030 WESTCHESTER AVEPurchase, NY 10577

Mailing Address2700 Westchester AvePurchase, NY 10577-2547 · (914) 607-5730 · Fax (203) 261-1970

Phone(914) 848-8030

Fax(914) 848-8031

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 7, 2006

Last NPPES UpdateOctober 18, 2019

✔ NPI 1124050273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NY · 402856✔ Licensed in CT · 003284

3030 WESTCHESTER AVE, Purchase, NY 10577

Open in Google Maps ↗

Secondary Practice Locations 6

Location 124 Stevens StNorwalk, CT 06850-3852 · Phone (203) 852-2000 ext. 3187 · Fax (203) 852-2945

Location 2171 Huguenot StNew Rochelle, NY 10801-7760 · Phone (914) 848-8030 · Fax (914) 848-8031

Location 31 Theall RdRye, NY 10580-1404 · Phone (914) 848-8030 · Fax (914) 848-8031

Location 473 Market StYonkers, NY 10710-7616 · Phone (914) 848-8030 · Fax (914) 848-8031

Location 5210 Westchester AveWhite Plains, NY 10604-2901 · Phone (914) 848-8030 · Fax (914) 848-8031

Location 61084 N BroadwayYonkers, NY 10701-1107 · Phone (914) 848-8030 · Fax (914) 848-8031

Other Identifiers 1

MedicaidPENDINGNY

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

Ms. Susan Sloan Jacoby Aprn 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 ID3375728645

PECOS Enrollment IDI20110502000154, I20191025001385

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

103 services35 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

95 services33 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10577 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

1 supplier12 claims12 services$32.01 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers12 claims12 services$70.40 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers15 claims90 services$1.76 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

1 supplier12 claims12 services$10.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HELEN REYES PA-C

Physician Assistant