MR. JACOB BARELA
NPI 1255110755
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since September 25, 2023PECOS Enrolled
440 W 34TH ST APT 6C, NEW YORK, NY 10001(208) 308-9129 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Jacob Barela NPPES

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

MR. JACOB BARELA (NPI 1255110755) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (405196) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255110755
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JACOB BARELA
Location Address440 W 34TH ST APT 6CNew York, NY 10001-2304
Mailing Address440 W 34th St Apt 6cNew York, NY 10001-2304 · (208) 308-9129
Sole ProprietorYes
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1255110755 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 NY · 405196
440 W 34TH ST APT 6C, New York, NY 10001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacob Barela 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Barela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
1425 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 385 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 Barela's NPI number?

The NPI number for Jacob Barela is 1255110755. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Jacob Barela located?

Jacob Barela practices at 440 W 34th St Apt 6C, New York, NY 10001. The listed phone number is (208) 308-9129.

What is Jacob Barela's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Barela enrolled in Medicare?

Yes. Jacob Barela is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Barela's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Barela 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 Jacob Barela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Barela was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.