RENATTA JACOBS
NPI 1235725326
Nurse Practitioner - Primary Care in Lodi, NJ
About Renatta Jacobs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENATTA JACOBS (NPI 1235725326) is an individual primary care provider in Lodi, New Jersey, licensed in New York (F309729) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Renatta Jacobs 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 Renatta Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 275 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07644 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Renatta Jacobs's NPI number?
The NPI number for Renatta Jacobs is 1235725326. It was assigned to this individual provider in the NPPES registry on December 14, 2020.
Where is Renatta Jacobs located?
Renatta Jacobs practices at 114 Spring St, Lodi, NJ 07644. The listed phone number is (347) 837-6360.
What is Renatta Jacobs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Renatta Jacobs enrolled in Medicare?
Yes. Renatta Jacobs 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 Renatta Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renatta Jacobs reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). 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 Renatta Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Renatta Jacobs affiliated with any hospitals?
According to CMS data, Renatta Jacobs is affiliated with Mount Sinai Hospital.
When was this NPI record last updated?
The NPPES record for Renatta Jacobs was last updated on December 14, 2020. 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.
# Renatta Jacobs · NPI 1235725326
Primary Care physician in Lodi, New Jersey. Individual provider, active in the CMS NPPES registry since December 14, 2020.
## Identity
- **NPI:** 1235725326 (Entity type: Individual)
- **Enumerated:** December 14, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** F309729 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 114 SPRING ST, Lodi, NJ 07644-3125
- **Phone:** (347) 837-6360
## 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:** Icahn School Of Medicine At Mount Sinai (NPI 1750649612, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1235725326) · Data from the CMS NPPES public registry.