CARLA JACOB
NPI 1497063010
Nurse Practitioner - Family in Baltimore, MD
About Carla Jacob NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA JACOB (NPI 1497063010) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R248512) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carla Jacob 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.
Medicare Billing Reassignments
5Medicare enrollment records show Carla Jacob reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 234 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 108 clinicians in this Medicare group
Baltimore, MD 21229
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1093130924 (District of Columbia)
- 74 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 1,067 clinicians in this Medicare group
New York, NY 11412
- Reassigned Medicare billing, New York enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Maryland Medical Center
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Carla Jacob's NPI number?
The NPI number for Carla Jacob is 1497063010. It was assigned to this individual provider in the NPPES registry on September 16, 2010.
Where is Carla Jacob located?
Carla Jacob practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (347) 268-4390.
What is Carla Jacob's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carla Jacob enrolled in Medicare?
Yes. Carla Jacob 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.
Which organizations bill Medicare for Carla Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Jacob reassigns Medicare benefits to 5 organizations: University Of Maryland Emergency Medicine Associates, PA (Baltimore, MD), University Of Maryland Midtown Health Inc (Baltimore, MD), Mnr Industries LLC (Baltimore, MD), Fpa Hospital Based (New York, NY) and Expert Medical Services LLC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carla Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Carla Jacob affiliated with any hospitals?
According to CMS data, Carla Jacob is affiliated with University Of Maryland Medical Center.
When was this NPI record last updated?
The NPPES record for Carla Jacob was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carla Jacob · NPI 1497063010
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since September 16, 2010.
## Identity
- **NPI:** 1497063010 (Entity type: Individual)
- **Enumerated:** September 16, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R248512 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (347) 268-4390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Of Maryland Emergency Medicine Associates, PA (NPI 1144271743, Baltimore, MD); University Of Maryland Midtown Health Inc (NPI 1710347729, Baltimore, MD); Mnr Industries LLC (NPI 1306241617, Baltimore, MD); Fpa Hospital Based (NPI 1487995700, New York, NY); Expert Medical Services LLC (NPI 1215019377, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497063010) · Data from the CMS NPPES public registry.