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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: November 01, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Kindmind Psychiatric Health
9.0 mi
Psychiatry
5980 S MAIN ST STE 101
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1093409666 (248) 470-7359
Healing Mental Health PLLC
9.7 mi
Psychiatric/Mental Health
5770 HIGHLAND RD STE A
Waterford, MI 48327
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1497470975 (248) 775-7767

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 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.

Which organizations bill Medicare for Jacob Newell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Newell reassigns Medicare benefits to 2 organizations: Kindmind Psychiatric Health (Clarkston, MI) and Healing Mental Health PLLC (Waterford, MI). Each 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 Newell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Newell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Jacob Newell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 14 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.