ALICE JACOB
NPI 1639705916
Nurse Practitioner - Psychiatric/Mental Health in West Warwick, RI

Active since March 18, 2020PECOS EnrolledAccepts Medicare Assignment
186 PROVIDENCE ST, WEST WARWICK, RI 02893(401) 615-2800 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2021, May 12, 2021, Jan 7, 2021 and 1 more (4 updates tracked since 2020).

About Alice Jacob NPPES

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

ALICE JACOB (NPI 1639705916) is an individual psychiatric/mental health provider in West Warwick, Rhode Island, licensed in Rhode Island (APRN02527) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639705916
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALICE JACOB
Location Address186 PROVIDENCE STWest Warwick, RI 02893-2508
Mailing Address186 Providence StWest Warwick, RI 02893-2508 · (401) 615-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 18, 2020
Last NPPES UpdateOctober 7, 20214 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
NPI 1639705916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in RI · APRN02527
Also ListedRegistered NurseTaxonomy 163W00000X · License RN49456 (RI)
186 PROVIDENCE ST, West Warwick, RI 02893

Accepted Insurance

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

Alice Jacob 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 ID9537575352
PECOS Enrollment IDI20231221002018
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

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.
27 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02893 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Pediatrics
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Family Medicine
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Social Worker (Clinical)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Dentist
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Social Worker (Clinical)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893

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 Alice Jacob's NPI number?

The NPI number for Alice Jacob is 1639705916. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Alice Jacob located?

Alice Jacob practices at 186 Providence St, West Warwick, RI 02893. The listed phone number is (401) 615-2800.

What is Alice Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alice Jacob enrolled in Medicare?

Yes. Alice Jacob 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.

What insurance does Alice Jacob accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Alice Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alice Jacob was last updated on October 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.