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MR. JACOB SPRUILL NP
NPI 1417664582
Nurse Practitioner in Los Angeles, CA

Active since October 28, 2022PECOS EnrolledAccepts Medicare Assignment
1500 SAN PABLO ST, LOS ANGELES, CA 90033(323) 442-8500 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Jan 14, 2023, Oct 28, 2022 (3 updates tracked since 2022).

About Mr. Jacob Spruill Np NPPES

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

MR. JACOB SPRUILL NP (NPI 1417664582) is an individual nurse practitioner in Los Angeles, California, licensed in California (95022419) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417664582
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JACOB SPRUILLCredential: NP
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5100
Phone(323) 442-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 28, 2022
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1417664582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95022419
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1500 SAN PABLO ST, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacob Spruill Np 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.

PECOS PAC ID7517336340
PECOS Enrollment IDI20221216001695
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
272 services112 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

MRS. CATHY KIEM NGO CRNA
Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
DR. THOMAS ALLEN BUCHANAN M.D.
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9576
DR. KASHIF TANVEER KHAN M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
BARBARA LEUNG
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (800) 272-2273
MELANIE KUSONRUKSA M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
KAREN KIM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9385
DR. SHALINI SUNIL SHAH M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (714) 261-3585
TYLER DANIEL COHAN
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (800) 872-2273

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 Spruill's NPI number?

The NPI number for Jacob Spruill is 1417664582. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Jacob Spruill located?

Jacob Spruill practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-8500.

What is Jacob Spruill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacob Spruill enrolled in Medicare?

Yes. Jacob Spruill 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.

When was this NPI record last updated?

The NPPES record for Jacob Spruill was last updated on August 8, 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.