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ANNALISE SARA JACOBS MD
NPI 1225619406
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 19, 2021PECOS Enrolled
705 RILEY HOSPITAL DR, RI-5837, INDIANAPOLIS, IN 46202(317) 944-4034 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annalise Sara Jacobs Md NPPES

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

ANNALISE SARA JACOBS MD (NPI 1225619406) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225619406
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNALISE SARA JACOBSCredential: MD
Location Address705 RILEY HOSPITAL DR, RI-5837Indianapolis, IN 46202
Mailing Address705 Riley Hospital Dr, Ri-5837Indianapolis, IN 46202 · (317) 944-4034
Phone(317) 944-4034
Sole ProprietorNo
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1225619406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
705 RILEY HOSPITAL DR, RI-5837, Indianapolis, IN 46202
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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)

Annalise Sara Jacobs Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

HANNAH STAATS-CIOTOLA MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR, RI-5837
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034

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 Annalise Jacobs's NPI number?

The NPI number for Annalise Jacobs is 1225619406. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Annalise Jacobs located?

Annalise Jacobs practices at 705 Riley Hospital Dr, Ri-5837, Indianapolis, IN 46202. The listed phone number is (317) 944-4034.

What is Annalise Jacobs's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Annalise Jacobs enrolled in Medicare?

Yes. Annalise Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annalise Jacobs was last updated on April 19, 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.