MARY JACUBEC - NPI 1134082266 - Physician Assistant in Brooksville, FL

Q: What is Mary Jacubec's NPI number?

The NPI number for Mary Jacubec is 1134082266. It was assigned to this individual provider in the NPPES registry on December 5, 2025.

Q: What is Mary Jacubec's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Jacubec was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mary Jacubec NPPES

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

MARY JACUBEC (NPI 1134082266) is an individual physician assistant in Brooksville, Florida, licensed in Florida (PA9121019) and active in the NPI registry since December 2025. The provider is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2025).

NPPES Registry Identity

NPI1134082266

Entity TypeIndividual

Primary Taxonomy363A00000X

Provider Legal NameMARY JACUBEC

Location Address17222 HOSPITAL BLVD STE 346Brooksville, FL 34601-8925

Mailing Address12561 92nd WayLargo, FL 33773-2534

Phone(352) 796-3334

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2025

Enumeration DateDecember 5, 2025

Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1134082266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9121019

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.

17222 HOSPITAL BLVD STE 346, Brooksville, FL 34601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jacubec is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385120534

PECOS Enrollment IDI20260108000204

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34601 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.