JACOB PAUL MAXWELL RN, DNP
NPI 1174157572
Nurse Practitioner - Family in Loma Linda, CA
About Jacob Paul Maxwell Rn, Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB PAUL MAXWELL RN, DNP (NPI 1174157572) is an individual family provider in Loma Linda, California, licensed in California (95015683) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Jacob Paul Maxwell Rn, Dnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Maxwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Escondido, CA 92025
- Reassigned Medicare billing, California enrollment
- 332 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 92350 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.
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
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 Maxwell's NPI number?
The NPI number for Jacob Maxwell is 1174157572. It was assigned to this individual provider in the NPPES registry on February 25, 2020.
Where is Jacob Maxwell located?
Jacob Maxwell practices at 11262 Campus St, Loma Linda, CA 92350. The listed phone number is (909) 558-1000.
What is Jacob Maxwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacob Maxwell enrolled in Medicare?
Yes. Jacob Maxwell 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.
Which organization bills Medicare for Jacob Maxwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Maxwell reassigns Medicare benefits to Neighborhood Healthcare (Escondido, CA). 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 Maxwell'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 Maxwell was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jacob Paul Maxwell, RN, DNP · NPI 1174157572
Family physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since February 25, 2020.
## Identity
- **NPI:** 1174157572 (Entity type: Individual)
- **Enumerated:** February 25, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95015683 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11262 CAMPUS ST, Loma Linda, CA 92350-1727
- **Phone:** (909) 558-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Neighborhood Healthcare (NPI 1598703647, Escondido, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174157572) · Data from the CMS NPPES public registry.