ALICE JACOB
NPI 1639705916
Nurse Practitioner - Psychiatric/Mental Health in West Warwick, RI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Alice Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Warwick, RI 02893
- Reassigned Medicare billing, Rhode Island enrollment
- 288 clinicians in this Medicare group
Fall River, MA 02723
- Reassigned Medicare billing, Massachusetts enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
WEST WARWICK, RI 02893
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.
Which organizations bill Medicare for Alice Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alice Jacob reassigns Medicare benefits to 2 organizations: Thundermist Health Center (West Warwick, RI) and Healthfirst Family Care Center Inc. (Fall River, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alice Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Alice Jacob · NPI 1639705916
Psychiatric/Mental Health physician in West Warwick, Rhode Island. Individual provider, active in the CMS NPPES registry since March 18, 2020.
## Identity
- **NPI:** 1639705916 (Entity type: Individual)
- **Enumerated:** March 18, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN02527 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 186 PROVIDENCE ST, West Warwick, RI 02893-2508
- **Phone:** (401) 615-2800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thundermist Health Center (NPI 1376708560, West Warwick, RI); Healthfirst Family Care Center Inc. (NPI 1962435933, Fall River, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639705916) · Data from the CMS NPPES public registry.