JACOB MCGINNIS
NPI 1558083659
Nurse Practitioner - Family in Lebanon, NH

Active since September 15, 2022PECOS Enrolled
1 MEDICAL CENTER DR, LEBANON, NH 03756(727) 286-0231 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2026, Sep 15, 2022 (2 updates tracked since 2022).

About Jacob Mcginnis NPPES

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

JACOB MCGINNIS (NPI 1558083659) is an individual family provider in Lebanon, New Hampshire, licensed in New Hampshire (088938-23) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1558083659
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB MCGINNIS
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-0001
Mailing Address1 Medical Center DrLebanon, NH 03756-0001 · (727) 286-0231
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 15, 2022
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
NPI 1558083659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NH · 088938-23
Also ListedRegistered NurseTaxonomy 163W00000X · License 088938-21 (NH)
1 MEDICAL CENTER DR, Lebanon, NH 03756

Other Names 1

Former Name (1)Jacob Overdurff

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Mcginnis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799267571
PECOS Enrollment IDI20260302001427
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756

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 Mcginnis's NPI number?

The NPI number for Jacob Mcginnis is 1558083659. It was assigned to this individual provider in the NPPES registry on September 15, 2022. The provider is also known as Jacob Overdurff.

Where is Jacob Mcginnis located?

Jacob Mcginnis practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (727) 286-0231.

What is Jacob Mcginnis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Mcginnis enrolled in Medicare?

Yes. Jacob Mcginnis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Mcginnis was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.