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JACOB CARPENTER FNP-C
NPI 1295199263
Nurse Practitioner - Family in Lancaster, CA

Active since April 06, 2016PECOS Enrolled
45104 10TH ST W, LANCASTER, CA 93534(661) 942-2391 Get Directions Write a Review

NPPES record last updated: July 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Carpenter Fnp-c NPPES

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

JACOB CARPENTER FNP-C (NPI 1295199263) is an individual family provider in Lancaster, California, licensed in California (95004394) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295199263
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB CARPENTERCredential: FNP-C
Location Address45104 10TH ST WLancaster, CA 93534-2310
Mailing Address45104 10th St WLancaster, CA 93534-2310 · (661) 942-2391
Phone(661) 942-2391
Sole ProprietorYes
Enumeration DateApril 6, 2016
Last NPPES UpdateJuly 3, 2016
✔ NPI 1295199263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95004394
45104 10TH ST W, Lancaster, CA 93534
Open in Google Maps ↗

Other Identifiers 1

Medicaid95004394CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Carpenter Fnp-c 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 Carpenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mathias Primary Care Associates, Inc
95 mi
Internal Medicine
391 N SAN JACINTO ST
Hemet, CA 92543
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1508524083 (951) 533-5123

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 93534 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

BASIL MUBARKEH
Optometrist
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 941-9543
PAOLA AZUCENA BAUTISTA CPHW
Counselor
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 948-1228
DR. QIYUAN DAI MD
Internal Medicine
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-2391
TESSINY IRIARTE HOLLIDAY FNP-C
Family Medicine
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-2391
ANTELOPE VALLEY PARTNERS FOR HEALTH
Case Management
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-4719
SUTTIRAK CHAIWONGKARJOHN
Specialist
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-2391
ANA ALEJANDRA GUILLEN
Case Manager/Care Coordinator
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-2391
LAURA MARTINEZ
Obstetrics & Gynecology (Obstetrics)
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 941-9543

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 Carpenter's NPI number?

The NPI number for Jacob Carpenter is 1295199263. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Jacob Carpenter located?

Jacob Carpenter practices at 45104 10th St W, Lancaster, CA 93534. The listed phone number is (661) 942-2391.

What is Jacob Carpenter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Carpenter enrolled in Medicare?

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

Which organization bills Medicare for Jacob Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Carpenter reassigns Medicare benefits to Mathias Primary Care Associates, Inc (Hemet, CA). 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 Carpenter'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 Carpenter was last updated on July 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.