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JACOB FLAKE
NPI 1528880796
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since October 29, 2024Accepts Medicare Assignment
874 UNION AVE RM 325, MEMPHIS, TN 38103(901) 448-6128 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Flake NPPES

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

JACOB FLAKE (NPI 1528880796) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since October 2024. He is affiliated with Kadlec Regional Medical Center and is a graduate of Other (2026).

NPPES Registry Identity

NPI1528880796
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB FLAKE
Location Address874 UNION AVE RM 325Memphis, TN 38103-3514
Mailing Address874 Union Ave Rm 325Memphis, TN 38103-3514
Phone(901) 448-6128
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1528880796 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.
874 UNION AVE RM 325, Memphis, TN 38103
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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

Jacob Flake 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.

PECOS PAC ID9436622776
PECOS Enrollment IDI20260626003658

Medicare Billing Reassignment

Medicare enrollment records show Jacob Flake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Anesthesia Of Richland A Division Of Premier Anesthesia, LLC
1,704 mi
Anesthesiology
888 SWIFT BLVD
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • 172 clinicians in this Medicare group
NPI 1013940253 (770) 643-5501

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

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.

JACQUIE NACHELLE WOODARD
Student in an Organized Health Care Education/Training Program
874 UNION AVE RM 325
MEMPHIS, TN 38103
Shelby County (901) 448-6128
DOMINIQUE JENAE BLACK
Student in an Organized Health Care Education/Training Program
874 UNION AVE RM 325
MEMPHIS, TN 38103
Shelby County (901) 448-6128
PAULINE DINH
Student in an Organized Health Care Education/Training Program
874 UNION AVE RM 325
MEMPHIS, TN 38103
Shelby County (901) 448-6128
BRIA SHARP
Nurse Anesthetist, Certified Registered
874 UNION AVE RM 325
MEMPHIS, TN 38103
Shelby County (014) 486-1289
HANNAH ANJALI LOCHAN
Student in an Organized Health Care Education/Training Program
874 UNION AVE RM 325
MEMPHIS, TN 38103
Shelby County (901) 448-6128
HUNTER TURNER
Student in an Organized Health Care Education/Training Program
874 UNION AVE RM 325
MEMPHIS, TN 38103
Shelby County (901) 448-6128
SOMIE B SANCHEZ JR.
Student in an Organized Health Care Education/Training Program
874 UNION AVE RM 325
MEMPHIS, TN 38103
Shelby County (901) 448-6128
SAVANNAH HALE
Student in an Organized Health Care Education/Training Program
874 UNION AVE RM 325
MEMPHIS, TN 38103
Shelby County (901) 448-6128

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 Jacob Flake's NPI number?

The NPI number for Jacob Flake is 1528880796. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Jacob Flake located?

Jacob Flake practices at 874 Union Ave Rm 325, Memphis, TN 38103. The listed phone number is (901) 448-6128.

What is Jacob Flake's specialty?

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

Is Jacob Flake enrolled in Medicare?

Yes. Jacob Flake 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 Jacob Flake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Flake reassigns Medicare benefits to Premier Anesthesia Of Richland A Division Of Premier Anesthesia, LLC (Richland, WA). 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 Jacob Flake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacob Flake affiliated with any hospitals?

According to CMS data, Jacob Flake is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Flake was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.