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MARK JACOBS PA
NPI 1346359866
Physician Assistant in Modesto, CA

Active since August 29, 2006PECOS Enrolled
1541 FLORIDA AVE STE 305, MODESTO, CA 95350(209) 575-5833(209) 575-5836 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2024, Feb 16, 2020, Sep 20, 2017 (3 updates tracked since 2017).

About Mark Jacobs Pa NPPES

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

MARK JACOBS PA (NPI 1346359866) is an individual physician assistant in Modesto, California, licensed in Alabama (PA.1502) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346359866
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK JACOBSCredential: PA
Location Address1541 FLORIDA AVE STE 305Modesto, CA 95350-4439
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328 · Fax (502) 588-0326
Phone(209) 575-5833
Fax(209) 575-5836
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 4, 20243 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1346359866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AL · PA.1502✔ Licensed in KS · 15-01583
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.
1541 FLORIDA AVE STE 305, Modesto, CA 95350
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Secondary Practice Locations 2

Location 1201 Abraham Flexner Way Ste 1200Louisville, KY 40202-3841 · Phone (502) 588-7600 · Fax (502) 588-7700
Location 2833 Princeton Ave SW Ste 200ABirmingham, AL 35211-1321 · Phone (205) 786-2776

Other Identifiers 3

Other1017889Nccpa
OtherPA12419CA · State Pa License
Medicaid9500618500KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Jacobs Pa 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 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 3

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

JOHN BENJAMIN DEGRAFT-JOHNSON M.D.,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1541 FLORIDA AVE STE 305
MODESTO, CA 95350
Stanislaus County (209) 575-5836
DR. JAMES GREGORY ROBERTS M.D., R.V.T. FACS
Surgery (Vascular Surgery)
1541 FLORIDA AVE STE 305
MODESTO, CA 95350
Stanislaus County (209) 575-5833
DR. ZACHARY EDGAR BREWER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1541 FLORIDA AVE STE 305
MODESTO, CA 95350
Stanislaus County (209) 575-5833

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 Jacobs's NPI number?

The NPI number for Mark Jacobs is 1346359866. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Mark Jacobs located?

Mark Jacobs practices at 1541 Florida Ave Ste 305, Modesto, CA 95350. The listed phone number is (209) 575-5833.

What is Mark Jacobs's specialty?

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

Is Mark Jacobs enrolled in Medicare?

Yes. Mark Jacobs is registered in the Medicare PECOS enrollment system.

What insurance does Mark Jacobs accept?

Health plans from Sanford Health Plan list Mark Jacobs 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.

When was this NPI record last updated?

The NPPES record for Mark Jacobs was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.