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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENA JACOBS
NPI 1487455374
Student in an Organized Health Care Education/Training Program in Salem, OR

Active since March 24, 2025PECOS Enrolled
1793 13TH ST SE, SALEM, OR 97302(503) 362-8385(503) 362-8435 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 10, 2026, Mar 24, 2025 (2 updates tracked since 2025).

About Jena Jacobs NPPES

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

JENA JACOBS (NPI 1487455374) is an individual student in an organized health care education/training program in Salem, Oregon and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS and maintains a secondary practice location in Cooperstown.

NPPES Registry Identity

NPI1487455374
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJENA JACOBS
Location Address1793 13TH ST SESalem, OR 97302-2541
Mailing Address1793 13th St SeSalem, OR 97302-2541 · (503) 362-8385 · Fax (503) 362-8435
Phone(503) 362-8385
Fax(503) 362-8435
Sole ProprietorYes
Enumeration DateMarch 24, 2025
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1487455374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1793 13TH ST SE, Salem, OR 97302
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Atwell RdCooperstown, NY 13326-1301 · Phone (720) 646-1715

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jena Jacobs 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.

MRS. DEBORAH PREKKER JONES FNP-C
Nurse Practitioner (Family)
1793 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-8385
DR. RICK DEWITT PITTMAN MD
Surgery (Vascular Surgery)
1793 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-8385
SILVER FALLS DERMATOLOGY, LLC
Dermatology
1793 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-8385
DR. RUSSELL JOHN YOUNG MD
Dermatology
1793 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-8385
DR. SARAH E SHANGRAW MD
Dermatology
1793 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-8385
ARMAAN GURAYA DO
Dermatology
1793 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-8385
LAUREN GENE WILLIAMS FNP
Nurse Practitioner
1793 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-8385
MR. MARK D. WILLIAMS PA-C
Physician Assistant
1793 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-8385

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 Jena Jacobs's NPI number?

The NPI number for Jena Jacobs is 1487455374. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Jena Jacobs located?

Jena Jacobs practices at 1793 13th St SE, Salem, OR 97302. The listed phone number is (503) 362-8385.

What is Jena Jacobs's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jena Jacobs enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jena Jacobs was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.