DR. JACOB ERIC PRUETT MD, PHD
NPI 1356033450
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since May 25, 2023PECOS Enrolled
1161 21ST AVE S, D3100 MCN, NASHVILLE, TN 37232(601) 201-4229 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2024, May 25, 2023 (2 updates tracked since 2023).

About Dr. Jacob Eric Pruett Md, Phd NPPES

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

DR. JACOB ERIC PRUETT MD, PHD (NPI 1356033450) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356033450
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACOB ERIC PRUETTCredential: MD, PHD
Location Address1161 21ST AVE S, D3100 MCNNashville, TN 37232-0011
Mailing Address719 Thompson LnNashville, TN 37204-3609
Sole ProprietorNo
Enumeration DateMay 25, 2023
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1356033450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1161 21ST AVE S, Nashville, TN 37232

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jacob Eric Pruett Md, Phd 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.

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.

Nurse Practitioner (Family)
1161 21ST AVE S
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Internal Medicine (Infectious Disease)
1161 21ST AVE S, A-2200 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Radiology (Neuroradiology)
1161 21ST AVE S, CCC-1121 MED CTR N, DEPARTMENT OF RADIOLOGY
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurocritical Care)
1161 21ST AVE S
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232

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 Pruett's NPI number?

The NPI number for Jacob Pruett is 1356033450. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Jacob Pruett located?

Jacob Pruett practices at 1161 21st Ave S D3100 Mcn, Nashville, TN 37232. The listed phone number is (601) 201-4229.

What is Jacob Pruett'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 Pruett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Pruett was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.