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MARYKUTTY JACOB ANP-C
NPI 1275836058
Nurse Practitioner - Adult Health in New Hyde Park, NY

Active since December 16, 2010PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
450 LAKEVILLE RD, SUITE M41, NEW HYDE PARK, NY 11042(516) 734-8500(516) 734-8537 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marykutty Jacob Anp-c NPPES

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

MARYKUTTY JACOB ANP-C (NPI 1275836058) is an individual adult health provider in New Hyde Park, New York, licensed in New York (F 3055327-1) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275836058
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARYKUTTY JACOBCredential: ANP-C
Location Address450 LAKEVILLE RD, SUITE M41New Hyde Park, NY 11042-1117
Mailing Address450 Lakeville Rd, Suite M41New Hyde Park, NY 11042-1117 · (516) 734-8500 · Fax (516) 734-8537
Phone(516) 734-8500
Fax(516) 734-8537
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 16, 2010
✔ NPI 1275836058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F 3055327-1
450 LAKEVILLE RD, New Hyde Park, NY 11042
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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

Marykutty Jacob Anp-c 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 ID749444701
PECOS Enrollment IDI20120604000495
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
50 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services34 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
23 services22 patients
Simple change of bladder tube 51705
A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
12 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers32 claims5,520 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers46 claims8,360 services$1.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JENNIFER HERNANDEZ PA-C
Physician Assistant
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8876
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
Internal Medicine (Hematology & Oncology)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8900
PETER MAGRI JR. NP
Nurse Practitioner (Family)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-7443
SARA S KIM PHARM D, BCOP
Pharmacist
450 LAKEVILLE RD
LAKE SUCCESS, NY 11042
Nassau County (516) 734-3560
EMILY R VESELY
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8963
MRS. TAMMI HASSELL BLOT FNP
Nurse Practitioner (Family)
450 LAKEVILLE RD, PRE SURGICAL TESTING
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8006
SHANESE SHARMA NP
Nurse Practitioner (Adult Health)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 941-9454
EVA MONICA MCLOUGHLIN
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (917) 225-8175

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 Marykutty Jacob's NPI number?

The NPI number for Marykutty Jacob is 1275836058. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Where is Marykutty Jacob located?

Marykutty Jacob practices at 450 Lakeville Rd Suite M41, New Hyde Park, NY 11042. The listed phone number is (516) 734-8500.

What is Marykutty Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marykutty Jacob enrolled in Medicare?

Yes. Marykutty Jacob 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 Marykutty Jacob affiliated with any hospitals?

According to CMS data, Marykutty Jacob is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Marykutty Jacob was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.