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RENA JACOBS PA
NPI 1629301718
Physician Assistant in Durham, CT

Active since September 08, 2009PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
6 MAIN ST, DURHAM, CT 06422(860) 349-1058(860) 358-8652 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rena Jacobs Pa NPPES

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

RENA JACOBS PA (NPI 1629301718) is an individual physician assistant in Durham, Connecticut, licensed in Connecticut (002304) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629301718
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRENA JACOBSCredential: PA
Location Address6 MAIN STDurham, CT 06422-2126
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-4820 · Fax (860) 358-8661
Phone(860) 349-1058
Fax(860) 358-8652
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 8, 2009
Last NPPES UpdateApril 12, 2017
✔ NPI 1629301718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 002304
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6 MAIN ST, Durham, CT 06422
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Other Names 1

Former Name (1)Rena Bryan Pa

Other Identifiers 2

Medicaid008016826CT
Medicare PIND400009772CT

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

Rena Jacobs Pa 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 ID2567503923
PECOS Enrollment IDI20100107000117
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services90 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06422 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims42 services$4.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADFORD W WILKINSON MD
Family Medicine
6 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 349-1058
JOHN M CARBONE MD
Family Medicine
6 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 349-1058
JENNA KAITLYN PARKS PA-C
Physician Assistant
6 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 358-5020
JESSICA REICHBIND
Family Medicine
6 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 358-5020
MARC ROY MD
Family Medicine
6 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (603) 585-0208
MARY BETH VAN SICLEN M.D.
Family Medicine
6 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 358-5020

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 Rena Jacobs's NPI number?

The NPI number for Rena Jacobs is 1629301718. It was assigned to this individual provider in the NPPES registry on September 8, 2009. The provider is also known as Rena Bryan PA.

Where is Rena Jacobs located?

Rena Jacobs practices at 6 Main St, Durham, CT 06422. The listed phone number is (860) 349-1058.

What is Rena Jacobs's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rena Jacobs enrolled in Medicare?

Yes. Rena Jacobs 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.

When was this NPI record last updated?

The NPPES record for Rena Jacobs was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.