MRS. SUJA C JACOB FNP
NPI 1649672791
Nurse Practitioner - Family in Coppell, TX

Active since September 19, 2014PECOS EnrolledAccepts Medicare Assignment
2999 OLYMPUS BLVD, COPPELL, TX 75019(469) 647-4445 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 and is a graduate of Other (2009).

NPPES Registry Identity

NPI1649672791
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUJA C JACOBCredential: FNP
Location Address2999 OLYMPUS BLVDCoppell, TX 75019-0122
Mailing AddressPo Box 845347Dallas, TX 75284-7208
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 19, 2014
Last NPPES UpdateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
NPI 1649672791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP126091
2999 OLYMPUS BLVD, Coppell, TX 75019

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

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.

PECOS PAC ID7618299918
PECOS Enrollment IDI20141121001830
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.

Physician 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.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2999 OLYMPUS BLVD
COPPELL, TX 75019
Occupational Therapist
2999 OLYMPUS BLVD
COPPELL, TX 75019
Family Medicine
2999 OLYMPUS BLVD
COPPELL, TX 75019
Physical Therapist
2999 OLYMPUS BLVD
COPPELL, TX 75019
Occupational Therapist
2999 OLYMPUS BLVD
COPPELL, TX 75019
Physical Therapist
2999 OLYMPUS BLVD
DALLAS, TX 75019
Occupational Therapist
2999 OLYMPUS BLVD
COPPELL, TX 75019
Occupational Therapist
2999 OLYMPUS BLVD
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.

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 5 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.