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JACOB IAN PRIESTER
NPI 1306498209
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since July 10, 2019PECOS Enrolled
2625 53RD ST, SACRAMENTO, CA 95817(209) 620-1416 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Ian Priester NPPES

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

JACOB IAN PRIESTER (NPI 1306498209) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306498209
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB IAN PRIESTER
Location Address2625 53RD STSacramento, CA 95817-1629
Mailing Address2625 53rd StSacramento, CA 95817-1629 · (209) 620-1416
Phone(209) 620-1416
Sole ProprietorNo
Enumeration DateJuly 10, 2019
✔ NPI 1306498209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2625 53RD ST, Sacramento, CA 95817
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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 (PECOS)

Jacob Ian Priester 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.

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 Priester's NPI number?

The NPI number for Jacob Priester is 1306498209. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Jacob Priester located?

Jacob Priester practices at 2625 53rd St, Sacramento, CA 95817. The listed phone number is (209) 620-1416.

What is Jacob Priester'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 Priester enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Priester was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.