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DR. JACOB DANIEL CARLISLE DDS
NPI 1437718301
Dentist in Benton Harbor, MI

Active since June 13, 2019PECOS Enrolled
800 M 139, BENTON HARBOR, MI 49022(855) 869-6900 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jacob Daniel Carlisle Dds NPPES

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

DR. JACOB DANIEL CARLISLE DDS (NPI 1437718301) is an individual dentist in Benton Harbor, Michigan, licensed in Michigan (2901600138) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437718301
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACOB DANIEL CARLISLECredential: DDS
Location Address800 M 139Benton Harbor, MI 49022-3881
Mailing Address822 Ship St Apt 5Saint Joseph, MI 49085-1138
Phone(855) 869-6900
Sole ProprietorYes
Enumeration DateJune 13, 2019
✔ NPI 1437718301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901600138
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
800 M 139, Benton Harbor, MI 49022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Dr. Jacob Daniel Carlisle Dds 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 49022 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

JENNIFER COOPER-PETERSON RDH
Dental Hygienist
800 M 139
BENTON HARBOR, MI 49022
Berrien County (855) 869-6900
DR. DANIEL RUPERT MCGINN D.D.S.
Dentist
800 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 927-5400
BRIANNA CHRISTINE MEDLIN MSN, APRN, FNP-C
Nurse Practitioner
800 M 139
BENTON HARBOR, MI 49022
Berrien County (855) 869-6900
SHELLIE HORN RDH
Dental Hygienist
800 M 139
BENTON HARBOR, MI 49022
Berrien County (855) 869-6900
JENNY LYNN PARKER NP-C
Nurse Practitioner (Family)
800 M 139
BENTON HARBOR, MI 49022
Berrien County (855) 869-6900
PGPA, LLC
Pharmacy (Community/Retail Pharmacy)
800 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 849-8251
AMANDA CAYO BENTLEY DNP, FNP-C
Nurse Practitioner (Family)
800 M 139
BENTON HARBOR, MI 49022
Berrien County (855) 869-6900
RACHAEL DEITRICH RDH
Dental Hygienist
800 M 139
BENTON HARBOR, MI 49022
Berrien County (855) 869-6900

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 Carlisle's NPI number?

The NPI number for Jacob Carlisle is 1437718301. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Jacob Carlisle located?

Jacob Carlisle practices at 800 M 139, Benton Harbor, MI 49022. The listed phone number is (855) 869-6900.

What is Jacob Carlisle's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jacob Carlisle enrolled in Medicare?

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

What insurance does Jacob Carlisle accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jacob Carlisle 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 Jacob Carlisle was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.