MRS. JENNA ELIZABETH JACOBSON MSN, RN, CPNP-AC
NPI 1164938015
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Mrs. Jenna Elizabeth Jacobson Msn, Rn, Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNA ELIZABETH JACOBSON MSN, RN, CPNP-AC (NPI 1164938015) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP018348) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jenna Elizabeth Jacobson Msn, Rn, Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jenna Jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Jenna Jacobson's NPI number?
The NPI number for Jenna Jacobson is 1164938015. It was assigned to this individual provider in the NPPES registry on December 14, 2017. The provider is also known as Miss Jenna Elizabeth Deangelis.
Where is Jenna Jacobson located?
Jenna Jacobson practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.
What is Jenna Jacobson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jenna Jacobson enrolled in Medicare?
Yes. Jenna Jacobson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jenna Jacobson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Jacobson reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). 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 Jenna Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenna Jacobson was last updated on September 3, 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.
# Mrs. Jenna Elizabeth Jacobson, MSN, RN, CPNP-AC · NPI 1164938015
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 14, 2017.
## Identity
- **NPI:** 1164938015 (Entity type: Individual)
- **Enumerated:** December 14, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP018348 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1164938015) · Data from the CMS NPPES public registry.