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JACOB NEWELL
NPI 1184503245
Nurse Practitioner - Psychiatric/Mental Health in Lake Orion, MI

Active since September 01, 2025PECOS Enrolled
2945 MOUNTAIN VW APT 202, LAKE ORION, MI 48360(267) 393-6671 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Newell NPPES

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

JACOB NEWELL (NPI 1184503245) is an individual psychiatric/mental health provider in Lake Orion, Michigan, licensed in Michigan (4704384619NSA250PU) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184503245
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB NEWELL
Location Address2945 MOUNTAIN VW APT 202Lake Orion, MI 48360-2606
Mailing Address2945 Mountain Vw Apt 202Lake Orion, MI 48360-2606 · (267) 393-6671
Phone(267) 393-6671
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 1, 2025
NPPES CertifiedSeptember 1, 2025
✔ NPI 1184503245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704384619NSA250PU
2945 MOUNTAIN VW APT 202, Lake Orion, MI 48360
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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 (PECOS)

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

PECOS PAC ID4789174673
PECOS Enrollment IDI20251107004306
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 48360 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Newell's NPI number?

The NPI number for Jacob Newell is 1184503245. It was assigned to this individual provider in the NPPES registry on September 1, 2025.

Where is Jacob Newell located?

Jacob Newell practices at 2945 Mountain Vw Apt 202, Lake Orion, MI 48360. The listed phone number is (267) 393-6671.

What is Jacob Newell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Newell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Newell was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.