JACOB REDDEN
NPI 1548990336
Family Medicine in Beckley, WV
About Jacob Redden NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB REDDEN (NPI 1548990336) is an individual family medicine provider in Beckley, West Virginia, licensed in West Virginia (4280) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Redden 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Princeton Community Hospital
Acute Care Hospitals · Princeton, WVWelch Community Hospital
Acute Care Hospitals · Welch, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25801 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.
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 Redden's NPI number?
The NPI number for Jacob Redden is 1548990336. It was assigned to this individual provider in the NPPES registry on June 14, 2022.
Where is Jacob Redden located?
Jacob Redden practices at 252 Rural Acres Dr, Beckley, WV 25801. The listed phone number is (304) 252-8324.
What is Jacob Redden's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacob Redden enrolled in Medicare?
Yes. Jacob Redden 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.
Is Jacob Redden affiliated with any hospitals?
According to CMS data, Jacob Redden is affiliated with Princeton Community Hospital and Welch Community Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Redden was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jacob Redden · NPI 1548990336
Family Medicine physician in Beckley, West Virginia. Individual provider, active in the CMS NPPES registry since June 14, 2022.
## Identity
- **NPI:** 1548990336 (Entity type: Individual)
- **Enumerated:** June 14, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4280 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 252 RURAL ACRES DR, Beckley, WV 25801-3503
- **Phone:** (304) 252-8324
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548990336) · Data from the CMS NPPES public registry.