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

The NPI number assigned to this healthcare provider is 1639705916, enumerated as an "individual" on March 18, 2020.

The provider is located at 186 PROVIDENCE ST WEST WARWICK, RI 02893 and the phone number is (401) 615-2800.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.