SHEEJA JACOB APRN
NPI 1174100556
Nurse Practitioner - Gerontology in Saint Cloud, FL

Q: What is Sheeja Jacob's NPI number?

The NPI number for Sheeja Jacob is 1174100556. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Sheeja Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Sheeja Jacob was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 March 24, 2021PECOS EnrolledAccepts Medicare Assignment

2801 13TH ST, SAINT CLOUD, FL 34769(407) 483-3571 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2025, Mar 24, 2021 (2 updates tracked since 2021).

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About Sheeja Jacob Aprn NPPES

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

SHEEJA JACOB APRN (NPI 1174100556) is an individual gerontology provider in Saint Cloud, Florida, licensed in Florida (APRN11012005) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2020).

NPPES Registry Identity

NPI1174100556

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSHEEJA JACOBCredential: APRN

Location Address2801 13TH STSaint Cloud, FL 34769-4134

Mailing Address2801 13th StSaint Cloud, FL 34769-4134 · (407) 483-3571

Phone(407) 483-3571

Sole ProprietorYes

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2020

Enumeration DateMarch 24, 2021

Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration

NPPES CertifiedJuly 17, 2025

✔ NPI 1174100556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11012005

2801 13TH ST, Saint Cloud, FL 34769

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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

Sheeja Jacob 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 ID1759789084

PECOS Enrollment IDI20230526000090

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.

Medicare Billing Reassignments

Medicare enrollment records show Sheeja Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mango Wellness LLC

Same address

Multi-Specialty

2801 13TH ST
Saint Cloud, FL 34769

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1912570987 (407) 593-2958

Salud Urgent Care LLC

0.2 mi

Primary Care

3107 13TH STREET
Saint Cloud, FL 34769

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1598282113 (407) 957-7700

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 34769 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SIBY THOMAS PUTHENPURAYIL RPH

Pharmacist