SAMANTHA JACOBS
NPI 1508402959
Nurse Practitioner - Family in Pittsburgh, PA
About Samantha Jacobs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JACOBS (NPI 1508402959) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP021890) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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
Samantha Jacobs 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 Reassignment
Medicare enrollment records show Samantha Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsburgh, PA 15213
- Reassigned Medicare billing, Pennsylvania enrollment
- 94 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Allegheny General Hospital
Acute Care Hospitals · Pittsburgh, PAWest Penn Hospital
Acute Care Hospitals · Pittsburgh, PAJefferson Hospital
Acute Care Hospitals · Jefferson Hills, PAForbes Hospital
Acute Care Hospitals · Monroeville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSBURGH, PA 15224
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 Samantha Jacobs's NPI number?
The NPI number for Samantha Jacobs is 1508402959. It was assigned to this individual provider in the NPPES registry on November 20, 2019.
Where is Samantha Jacobs located?
Samantha Jacobs practices at 4815 Liberty Ave Ste 340, Pittsburgh, PA 15224. The listed phone number is (412) 681-4401.
What is Samantha Jacobs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Jacobs enrolled in Medicare?
Yes. Samantha Jacobs 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 organization bills Medicare for Samantha Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jacobs reassigns Medicare benefits to Allegheny Clinic Medical Oncology (Pittsburgh, PA). The 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 Samantha Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Jacobs affiliated with any hospitals?
According to CMS data, Samantha Jacobs is affiliated with Allegheny General Hospital, West Penn Hospital, Jefferson Hospital and Forbes Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Jacobs was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samantha Jacobs · NPI 1508402959
Family physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 20, 2019.
## Identity
- **NPI:** 1508402959 (Entity type: Individual)
- **Enumerated:** November 20, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP021890 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4815 LIBERTY AVE STE 340, Pittsburgh, PA 15224-2156
- **Phone:** (412) 681-4401
## 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:** Allegheny Clinic Medical Oncology (NPI 1831143403, Pittsburgh, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508402959) · Data from the CMS NPPES public registry.