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DR. DIANA R JACOBS DO
NPI 1386745487
Family Medicine in Mequon, WI

Active since September 25, 2006PECOS Enrolled
13111 N PORT WASHINGTON RD, MEQUON, WI 53097(262) 243-6548(262) 243-7599 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, May 19, 2017 (2 updates tracked since 2017).

About Dr. Diana R Jacobs Do NPPES

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

DR. DIANA R JACOBS DO (NPI 1386745487) is an individual family medicine provider in Mequon, Wisconsin, licensed in Wisconsin (27996) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386745487
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DIANA R JACOBSCredential: DO
Location Address13111 N PORT WASHINGTON RDMequon, WI 53097-2416
Mailing Address4425 N Port Washington Rd, Attn: Clinic CredentialingGlendale, WI 53212-1082 · (414) 963-7100
Phone(262) 243-6548
Fax(262) 243-7599
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1386745487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 27996
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13111 N PORT WASHINGTON RD, Mequon, WI 53097
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Other Identifiers 1

Medicaid30045000WI

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. Diana R Jacobs Do 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 53097 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 20

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

VICTORIA JANE LEPOLD
Student in an Organized Health Care Education/Training Program
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
CARDIOGRAPHICS PHYSICIANS ST. MARY'S OZAUKEE
Internal Medicine (Cardiovascular Disease)
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
MRS. KIM ANN GLASER MS CCC-SLP
Speech-Language Pathologist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-5757
LAURA ALAR R.PH.
Pharmacist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7342
EDWIN BACALSO
Social Worker (Clinical)
13111 N PORT WASHINGTON RD
THIENSVILLE, WI 53097
Ozaukee County (262) 243-6127
JANET SUSAN INGOLD PTA
Physical Therapy Assistant
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
MRS. ELIZABETH SHEPLER CRNA
Nurse Anesthetist, Certified Registered
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7408
INFINITY HEALTHCARE PHYSICIANS, S.C.
Emergency Medicine
13111 N PORT WASHINGTON RD, COLUMBIA ST. MARY'S - OZAUKEE CAMPUS
MEQUON, WI 53097
Ozaukee County (414) 290-6718

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 Diana Jacobs's NPI number?

The NPI number for Diana Jacobs is 1386745487. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Diana Jacobs located?

Diana Jacobs practices at 13111 N Port Washington Rd, Mequon, WI 53097. The listed phone number is (262) 243-6548.

What is Diana Jacobs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Diana Jacobs enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Diana Jacobs was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.