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JENNIFER SUSAN JACOB PA-C
NPI 1174105779
Physician Assistant in Philadelphia, PA

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-3807 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Susan Jacob Pa-c NPPES

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

JENNIFER SUSAN JACOB PA-C (NPI 1174105779) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA062473) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2020).

NPPES Registry Identity

NPI1174105779
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER SUSAN JACOBCredential: PA-C
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address8036 264th StFloral Park, NY 11004-1523 · (347) 982-5751
Phone(215) 662-3807
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2020
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1174105779 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 PA · MA062473
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.

3400 SPRUCE ST, Philadelphia, PA 19104
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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 and accepts Medicare assignment

Jennifer Susan Jacob Pa-c 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 ID9133538531
PECOS Enrollment IDI20210517000307
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 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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

DR. HARRY BART SMELTZ DO
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
ISSAM A MARDINI MD
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Philadelphia County (610) 416-4145
BARBARA A BERNHARDT MS
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4740
MS. ROSEMARY THERESA MCMENAMIN CRNP
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6963
DR. JAMES DAVID KOLKER MD
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
DR. RUTH HERMAN STEINMAN M.D.
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-0534
JUDITH ANNE O' DONNELL MD
Internal Medicine (Infectious Disease)
3400 SPRUCE ST, 3 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6932
UNIVERSITY OF PENN-RAD ONC
Radiology (Radiation Oncology)
3400 SPRUCE ST, 2 DONNER BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428

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 Jennifer Jacob's NPI number?

The NPI number for Jennifer Jacob is 1174105779. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Jennifer Jacob located?

Jennifer Jacob practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-3807.

What is Jennifer Jacob's specialty?

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

Is Jennifer Jacob enrolled in Medicare?

Yes. Jennifer Jacob 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.

When was this NPI record last updated?

The NPPES record for Jennifer Jacob was last updated on April 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.