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DR. JACOB SMALL, PROFESSIONAL ASSOCIATION
NPI 1649516030
Nurse Practitioner in Palmetto Bay, FL

Active since December 13, 2012
13805 SW 78TH CT, PALMETTO BAY, FL 33158(305) 972-2614 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacob Small, Professional Association NPPES

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

DR. JACOB SMALL, PROFESSIONAL ASSOCIATION (NPI 1649516030) is a healthcare organization registered as a nurse practitioner in Palmetto Bay, Florida and active in the NPI registry since December 2012. The organization lists Jacob Small, President, as its authorized official.

NPPES Registry Identity

NPI1649516030
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDR. JACOB SMALL, PA
Location Address13805 SW 78TH CTPalmetto Bay, FL 33158-1109
Mailing Address13805 Sw 78th CtPalmetto Bay, FL 33158-1109 · (305) 972-2614
Phone(305) 972-2614
Organization SubpartNo
Authorized OfficialJacob SmallPresident · (305) 972-2614
Enumeration DateDecember 13, 2012
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1649516030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 2163832
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
13805 SW 78TH CT, Palmetto Bay, FL 33158
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Other Names 1

Other NameDr. Jacob Small, Professional Association

Other Identifiers 1

Medicaid304943400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Small, Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Jacob Small, Professional Association, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacob Small, PHD, ARNP-C
Nurse Practitioner
NPI 1477550176
372 W 47TH ST
Hialeah, FL 33012
(305) 698-0112
✔ PECOS15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr. Jacob Small, PA's NPI number?

The NPI number for Dr. Jacob Small, PA is 1649516030. It was assigned to this organization in the NPPES registry on December 13, 2012. The provider is also known as Dr. Jacob Small, Professional Association.

Where is Dr. Jacob Small, PA located?

Dr. Jacob Small, PA is located at 13805 SW 78th Ct, Palmetto Bay, FL 33158. The listed phone number is (305) 972-2614.

What is Dr. Jacob Small, PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dr. Jacob Small, PA enrolled in Medicare?

Yes. Dr. Jacob Small, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Jacob Small, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dr. Jacob Small, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Jacob Small, PA was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.