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DR. JACOB JOHN MANSFIELD MD
NPI 1568213668
Student in an Organized Health Care Education/Training Program in Wright Patterson Afb, OH

Active since March 28, 2024PECOS Enrolled
88 MDG, 4881 SUGAR MAPLE DRIVE, WRIGHT PATTERSON AFB, OH 45433(937) 522-2778 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 3, 2026, Jan 12, 2026, Aug 15, 2025 and 2 more (5 updates tracked since 2024).

About Dr. Jacob John Mansfield Md NPPES

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

DR. JACOB JOHN MANSFIELD MD (NPI 1568213668) is an individual student in an organized health care education/training program in Wright Patterson Afb, Ohio and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568213668
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACOB JOHN MANSFIELDCredential: MD
Location Address88 MDG, 4881 SUGAR MAPLE DRIVEWright Patterson Afb, OH 45433
Mailing Address4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529 · (937) 257-9926
Phone(937) 522-2778
Sole ProprietorNo
Enumeration DateMarch 28, 2024
Last NPPES UpdateFebruary 19, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1568213668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 35.154887 (OH)
88 MDG, 4881 SUGAR MAPLE DRIVE, Wright Patterson Afb, OH 45433
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob John Mansfield Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mansfield's NPI number?

The NPI number for Jacob Mansfield is 1568213668. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Jacob Mansfield located?

Jacob Mansfield practices at 88 Mdg, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433. The listed phone number is (937) 522-2778.

What is Jacob Mansfield'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 Mansfield enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Mansfield was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.