SHINAMOL JACOB
NPI 1316204134
Nurse Practitioner - Family in Manhasset, NY
About Shinamol Jacob NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHINAMOL JACOB (NPI 1316204134) is an individual family provider in Manhasset, New York, licensed in New York (337156) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Shinamol Jacob 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 Reassignment
Medicare enrollment records show Shinamol Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11030 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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MANHASSET, NY 11030
MANHASSET, NY 11030
MANHASSET, NY 11030
MANHASSET, NY 11030
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 Shinamol Jacob's NPI number?
The NPI number for Shinamol Jacob is 1316204134. It was assigned to this individual provider in the NPPES registry on April 18, 2012.
Where is Shinamol Jacob located?
Shinamol Jacob practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-0100.
What is Shinamol Jacob's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shinamol Jacob enrolled in Medicare?
Yes. Shinamol 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 organization bills Medicare for Shinamol Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shinamol Jacob reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). 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 Shinamol Jacob'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 Shinamol Jacob was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shinamol Jacob · NPI 1316204134
Family physician in Manhasset, New York. Individual provider, active in the CMS NPPES registry since April 18, 2012.
## Identity
- **NPI:** 1316204134 (Entity type: Individual)
- **Enumerated:** April 18, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 337156 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 COMMUNITY DR, Manhasset, NY 11030-3816
- **Phone:** (516) 562-0100
## 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:** North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 18, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1316204134) · Data from the CMS NPPES public registry.