JENA JACOBS
NPI 1487455374
Student in an Organized Health Care Education/Training Program in Cooperstown, NY

Active since March 24, 2025PECOS Enrolled
1 ATWELL RD, COOPERSTOWN, NY 13326(720) 646-1715 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Cooperstown, New York and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487455374
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJENA JACOBS
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing Address8 North RdGlens Falls, NY 12801-2246
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
NPI 1487455374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1 ATWELL RD, Cooperstown, NY 13326

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.

Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326

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 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (720) 646-1715.

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 March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.