JACOB ZIEMKE DO
NPI 1467208017
General Practice in Jacksonville, FL

Q: What is Jacob Ziemke's NPI number?

The NPI number for Jacob Ziemke is 1467208017. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Q: What is Jacob Ziemke's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Ziemke was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 25, 2024PECOS Enrolled

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7762 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2024, Apr 25, 2024 (2 updates tracked since 2024).

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About Jacob Ziemke Do NPPES

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

JACOB ZIEMKE DO (NPI 1467208017) is an individual general practice provider in Jacksonville, Florida, licensed in Virginia (0102209500) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467208017

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameJACOB ZIEMKECredential: DO

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing Address2080 Child StJacksonville, FL 32214-5005

Phone(904) 542-7762

Sole ProprietorNo

Enumeration DateApril 25, 2024

Last NPPES UpdateJuly 20, 20252 updates tracked since enumeration

NPPES CertifiedJuly 20, 2025

✔ NPI 1467208017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102209500

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2080 CHILD ST, Jacksonville, FL 32214

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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 (PECOS)

Jacob Ziemke 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.

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.

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