MRS. SUJA C JACOB FNP
NPI 1649672791
Nurse Practitioner - Family in Coppell, TX
About Mrs. Suja C Jacob Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUJA C JACOB FNP (NPI 1649672791) is an individual family provider in Coppell, Texas, licensed in Texas (AP126091) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Suja C Jacob Fnp 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 Reassignment
Medicare enrollment records show Suja Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southlake, TX 76092
- Reassigned Medicare billing, Texas enrollment
- 5,299 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75019 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COPPELL, TX 75019
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 Suja Jacob's NPI number?
The NPI number for Suja Jacob is 1649672791. It was assigned to this individual provider in the NPPES registry on September 19, 2014.
Where is Suja Jacob located?
Suja Jacob practices at 2999 Olympus Blvd, Coppell, TX 75019. The listed phone number is (469) 647-4445.
What is Suja Jacob's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Suja Jacob enrolled in Medicare?
Yes. Suja 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 organization bills Medicare for Suja Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suja Jacob reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Southlake, TX). The 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 Suja Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suja Jacob accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Suja 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.
Is Suja Jacob affiliated with any hospitals?
According to CMS data, Suja Jacob is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..
When was this NPI record last updated?
The NPPES record for Suja Jacob was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Mrs. Suja C Jacob, FNP · NPI 1649672791
Family physician in Coppell, Texas. Individual provider, active in the CMS NPPES registry since September 19, 2014.
## Identity
- **NPI:** 1649672791 (Entity type: Individual)
- **Enumerated:** September 19, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP126091 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2999 OLYMPUS BLVD, Coppell, TX 75019-0122
- **Phone:** (469) 647-4445
## 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:** University Of Texas Southwestern Medical Center At Dallas (NPI 1275838732, Southlake, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649672791) · Data from the CMS NPPES public registry.