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JACOB TEMPLE DNP
NPI 1417463456
Nurse Practitioner - Adult Health in Lakeland, FL

Active since December 27, 2017PECOS Enrolled
3161 BELLFLOWER WAY, LAKELAND, FL 33811(863) 409-4802 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob Temple Dnp NPPES

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

JACOB TEMPLE DNP (NPI 1417463456) is an individual adult health provider in Lakeland, Florida, licensed in Florida (9259362) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417463456
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJACOB TEMPLECredential: DNP
Location Address3161 BELLFLOWER WAYLakeland, FL 33811-3033
Mailing Address3161 Bellflower WayLakeland, FL 33811-3033 · (863) 409-4802
Phone(863) 409-4802
Sole ProprietorYes
Enumeration DateDecember 27, 2017
✔ NPI 1417463456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · 9259362
3161 BELLFLOWER WAY, Lakeland, FL 33811
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Temple Dnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Temple reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Wound Care Inc
20 mi
Undersea and Hyperbaric Medicine
6719 GALL BLVD STE 203
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1770718561 (813) 957-8730

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 33811 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Temple's NPI number?

The NPI number for Jacob Temple is 1417463456. It was assigned to this individual provider in the NPPES registry on December 27, 2017.

Where is Jacob Temple located?

Jacob Temple practices at 3161 Bellflower Way, Lakeland, FL 33811. The listed phone number is (863) 409-4802.

What is Jacob Temple's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacob Temple enrolled in Medicare?

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

Which organization bills Medicare for Jacob Temple's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Temple reassigns Medicare benefits to Florida Wound Care Inc (Zephyrhills, FL). 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 Jacob Temple'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 Jacob Temple was last updated on December 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.