JACOB PEYTON
NPI 1619715661
Student in an Organized Health Care Education/Training Program in Connersville, IN

Active since July 16, 2024PECOS Enrolled
702 W 33RD ST, CONNERSVILLE, IN 47331(765) 698-6284 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Peyton NPPES

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

JACOB PEYTON (NPI 1619715661) is an individual student in an organized health care education/training program in Connersville, Indiana and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619715661
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB PEYTON
Location Address702 W 33RD STConnersville, IN 47331-2570
Mailing Address702 W 33rd StConnersville, IN 47331-2570 · (765) 698-6284
Sole ProprietorNo
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
NPI 1619715661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

702 W 33RD ST, Connersville, IN 47331

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 Peyton 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

The NPI number assigned to this healthcare provider is 1619715661, enumerated as an "individual" on July 16, 2024.

The provider is located at 702 W 33RD ST CONNERSVILLE, IN 47331 and the phone number is (765) 698-6284.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.