JACOB D HEADLEE DO
NPI 1265235329
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Active since March 31, 2025PECOS Enrolled
1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 575-1644 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob D Headlee Do NPPES

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

JACOB D HEADLEE DO (NPI 1265235329) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265235329
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB D HEADLEECredential: DO
Location Address1115 E 20TH STSioux Falls, SD 57105-1013
Mailing Address25836 N Primo CirRio Verde, AZ 85263-7023 · (605) 951-3016
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1265235329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1115 E 20TH ST, Sioux Falls, SD 57105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob D Headlee Do 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 20

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

Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105

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 Headlee's NPI number?

The NPI number for Jacob Headlee is 1265235329. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jacob Headlee located?

Jacob Headlee practices at 1115 E 20th St, Sioux Falls, SD 57105. The listed phone number is (605) 575-1644.

What is Jacob Headlee's specialty?

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

Is Jacob Headlee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Headlee was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.