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JACOB LEE OLIVER SLP
NPI 1174148936
Speech-Language Pathologist in Danville, AR

Active since June 08, 2020
719 DETROIT AVE, DANVILLE, AR 72833(479) 495-6252 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Lee Oliver Slp NPPES

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

JACOB LEE OLIVER SLP (NPI 1174148936) is an individual speech-language pathologist provider in Danville, Arkansas, licensed in Arkansas (200110) and active in the NPI registry since June 2020. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1174148936
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJACOB LEE OLIVERCredential: SLP
Location Address719 DETROIT AVEDanville, AR 72833-9607
Mailing AddressPo Box 639Danville, AR 72833-0639 · (479) 495-6252
Phone(479) 495-6252
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2020
NPPES CertifiedJune 8, 2020
✔ NPI 1174148936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AR · 200110
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
719 DETROIT AVE, Danville, AR 72833
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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 (PECOS)

Jacob Lee Oliver Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143790048
PECOS Enrollment IDI20260601001533

Medicare Billing Reassignment

Medicare enrollment records show Jacob Oliver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stein Ancillary Services, LLC
60 mi
Rehabilitation Practitioner
8520 S 36TH TER
Fort Smith, AR 72908
  • Reassigned Medicare billing, Oklahoma enrollment
  • 22 clinicians in this Medicare group
NPI 1073591582 (479) 410-1740

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RANDALL JAMES OSBORN CNP
Nurse Practitioner (Family)
719 DETROIT AVE
DANVILLE, AR 72833
Yell County (479) 495-2241
MS. SHERRY LYNN LOYD APRN
Nurse Practitioner (Family)
719 DETROIT AVE
DANVILLE, AR 72833
Yell County (479) 495-2241
WILLIAM A ISELY M.D.
Family Medicine
719 DETROIT AVE
DANVILLE, AR 72833
Yell County (479) 495-6270
JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC.
Clinic/Center (Primary Care)
719 DETROIT AVE
DANVILLE, AR 72833
Yell County (479) 495-2241
MISTY VICK
Physical Therapy Assistant
719 DETROIT AVE
DANVILLE, AR 72833
Yell County (479) 495-6252
JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC.
Clinic/Center (Emergency Care)
719 DETROIT AVE
DANVILLE, AR 72833
Yell County (479) 495-2241
MRS. EMILY GRACE LUERSSEN CF-SLP
Speech-Language Pathologist
719 DETROIT AVE
DANVILLE, AR 72833
Yell County (479) 495-2241
KELSEY CRAWFORD DPT
Physical Therapist
719 DETROIT AVE
DANVILLE, AR 72833
Yell County (479) 495-6252

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 Jacob Oliver's NPI number?

The NPI number for Jacob Oliver is 1174148936. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Jacob Oliver located?

Jacob Oliver practices at 719 Detroit Ave, Danville, AR 72833. The listed phone number is (479) 495-6252.

What is Jacob Oliver's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jacob Oliver enrolled in Medicare?

Yes. Jacob Oliver is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Oliver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Oliver reassigns Medicare benefits to Stein Ancillary Services, LLC (Fort Smith, AR). 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 Jacob Oliver'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 Jacob Oliver was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.