MARK JACOB FNP
NPI 1306126032
Nurse Practitioner - Family in Dallas, TX
About Mark Jacob Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK JACOB FNP (NPI 1306126032) is an individual family provider in Dallas, Texas, licensed in Texas (AP130611) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- Waxahachie, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Jacob Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mark Jacob reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Addison, TX 75001
- Reassigned Medicare billing, Texas enrollment
- 146 clinicians in this Medicare group
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Dallas, TX 75246
- Reassigned Medicare billing, Texas enrollment
- 1,044 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White Medical Center- Waxahachie
Acute Care Hospitals · Waxahachie, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DALLAS, TX 75240
DALLAS, TX 75240
DALLAS, TX 75240
DALLAS, TX 75240
DALLAS, TX 75240
DALLAS, TX 75240
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 Mark Jacob's NPI number?
The NPI number for Mark Jacob is 1306126032. It was assigned to this individual provider in the NPPES registry on August 25, 2011.
Where is Mark Jacob located?
Mark Jacob practices at 13737 Noel Rd Suite 1200, Dallas, TX 75240. The listed phone number is (214) 712-2000.
What is Mark Jacob's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mark Jacob enrolled in Medicare?
Yes. Mark 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.
Which organizations bill Medicare for Mark Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Jacob reassigns Medicare benefits to 3 organizations: Texas Health Urgent Care (Addison, TX), University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Century Integrated Partners, Inc (Dallas, TX). Each 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 Mark Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Jacob accept?
Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Mark Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mark Jacob affiliated with any hospitals?
According to CMS data, Mark Jacob is affiliated with Baylor Scott & White Medical Center- Waxahachie.
When was this NPI record last updated?
The NPPES record for Mark Jacob was last updated on February 2, 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.
# Mark Jacob, FNP · NPI 1306126032
Family physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since August 25, 2011.
## Identity
- **NPI:** 1306126032 (Entity type: Individual)
- **Enumerated:** August 25, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP130611 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13737 NOEL RD, SUITE 1200, Dallas, TX 75240-1331
- **Phone:** (214) 712-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Texas Health Urgent Care (NPI 1376131045, Addison, TX); University Of Texas Southwestern Medical Center At Dallas (NPI 1043418205, Dallas, TX); Century Integrated Partners, Inc (NPI 1447615711, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306126032) · Data from the CMS NPPES public registry.