MS. SUSAN SLOAN JACOBY APRN
NPI 1124050273
Nurse Practitioner - Psychiatric/Mental Health in Purchase, NY
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
Specialties & Licenses
Secondary Practice Locations 6
Other Identifiers 1
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Jacoby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rye Brook, NY 10573
- Reassigned Medicare billing, Connecticut and New York enrollments
- 186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
PURCHASE, NY 10577
PURCHASE, NY 10577
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 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.
Where is Susan Jacoby located?
Susan Jacoby practices at 3030 Westchester Ave, Purchase, NY 10577. The listed phone number is (914) 848-8030.
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.
Is Susan Jacoby enrolled in Medicare?
Yes. Susan Jacoby 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 organization bills Medicare for Susan Jacoby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Jacoby reassigns Medicare benefits to Westchester Medical Group, P.C. (Rye Brook, NY). The 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 Susan Jacoby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Jacoby accept?
Health plans from Anthem Blue Cross and Blue Shield list Susan Jacoby 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 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 7 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.
# Ms. Susan Sloan Jacoby, APRN · NPI 1124050273
Psychiatric/Mental Health physician in Purchase, New York. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1124050273 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 402856 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3030 WESTCHESTER AVE, Purchase, NY 10577
- **Phone:** (914) 848-8030 · **Fax:** (914) 848-8031
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Westchester Medical Group, P.C. (NPI 1881653822, Rye Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 18, 2019
- **Other identifiers:** Medicaid PENDING (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1124050273) · Data from the CMS NPPES public registry.