JACOB EUGENE PHILLIPS PA-C
NPI 1306140017
Physician Assistant in Winter Park, FL

Active since January 10, 2011PECOS Enrolled
1801 LEE RD STE 304, WINTER PARK, FL 32789(321) 765-4373(407) 542-0666 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2026, Mar 15, 2016 (2 updates tracked since 2016).

About Jacob Eugene Phillips Pa-c NPPES

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

JACOB EUGENE PHILLIPS PA-C (NPI 1306140017) is an individual physician assistant in Winter Park, Florida, licensed in Florida (PA9105852) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306140017
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB EUGENE PHILLIPSCredential: PA-C
Location Address1801 LEE RD STE 304Winter Park, FL 32789-2101
Mailing Address1801 Lee Rd Ste 304Winter Park, FL 32789-2101 · (321) 765-4373 · Fax (407) 542-0666
Fax(407) 542-0666
Sole ProprietorNo
Enumeration DateJanuary 10, 2011
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1306140017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9105852
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1801 LEE RD STE 304, Winter Park, FL 32789

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 Eugene Phillips Pa-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 2

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

Neurological Surgery
1801 LEE RD STE 304
WINTER PARK, FL 32789
Physician Assistant
1801 LEE RD STE 304
WINTER PARK, FL 32789

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 Phillips's NPI number?

The NPI number for Jacob Phillips is 1306140017. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Where is Jacob Phillips located?

Jacob Phillips practices at 1801 Lee Rd Ste 304, Winter Park, FL 32789. The listed phone number is (321) 765-4373.

What is Jacob Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Phillips enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Phillips was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.