SUNI JACOB APRN
NPI 1194709402
Nurse Practitioner in Hamden, CT

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
94.17/100
CMS Quality Rating
2543 DIXWELL AVE, HAMDEN, CT 06514(203) 230-4160 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suni Jacob Aprn NPPES

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

SUNI JACOB APRN (NPI 1194709402) is an individual nurse practitioner in Hamden, Connecticut, licensed in Connecticut (003301) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194709402
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUNI JACOBCredential: APRN
Location Address2543 DIXWELL AVEHamden, CT 06514-1860
Mailing Address161 Rochela DrSouthington, CT 06489-4671 · (203) 525-5561
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 30, 2005
Last NPPES UpdateApril 6, 2023
NPPES CertifiedApril 6, 2023
NPI 1194709402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CT · 003301
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2543 DIXWELL AVE, Hamden, CT 06514

Other Identifiers 1

Medicaid008043065CT

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

Suni Jacob Aprn 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 ID7113948241
PECOS Enrollment IDI20051216000016
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
377 services186 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
168 services22 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
167 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
153 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06514 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.94
Promoting Interoperability99.39
Improvement Activities40

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
2543 DIXWELL AVE
HAMDEN, CT 06514
Physician Assistant (Medical)
2543 DIXWELL AVE
HAMDEN, CT 06514
Internal Medicine
2543 DIXWELL AVE
HAMDEN, CT 06514
Internal Medicine
2543 DIXWELL AVE
HAMDEN, CT 06514
Internal Medicine
2543 DIXWELL AVE
HAMDEN, CT 06514
Internal Medicine
2543 DIXWELL AVE
HAMDEN, CT 06514

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 Suni Jacob's NPI number?

The NPI number for Suni Jacob is 1194709402. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Suni Jacob located?

Suni Jacob practices at 2543 Dixwell Ave, Hamden, CT 06514. The listed phone number is (203) 230-4160.

What is Suni Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Suni Jacob enrolled in Medicare?

Yes. Suni 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 Suni Jacob was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.