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RENATTA JACOBS
NPI 1235725326
Nurse Practitioner - Primary Care in Lodi, NJ

Active since December 14, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1235725326
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameRENATTA JACOBS
Location Address114 SPRING STLodi, NJ 07644-3125
Mailing Address114 Spring StLodi, NJ 07644-3125 · (347) 837-6360
Phone(347) 837-6360
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1235725326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F309729
114 SPRING ST, Lodi, NJ 07644
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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 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.

PECOS PAC ID8325413347
PECOS Enrollment IDI20230405001058
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.

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, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician 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.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 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.

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 with the weekly NPPES data releases published by CMS.