AMANDA JACOB NP
NPI 1659846426
Nurse Practitioner - Neonatal in Royal Oak, MI

Active since October 09, 2018
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-0633(248) 898-3393 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2022, Oct 9, 2018 (2 updates tracked since 2018).

About Amanda Jacob Np NPPES

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

AMANDA JACOB NP (NPI 1659846426) is an individual neonatal provider in Royal Oak, Michigan, licensed in Michigan (4704294394) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1659846426
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameAMANDA JACOBCredential: NP
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1848 · Fax (947) 522-0307
Fax(248) 898-3393
Sole ProprietorNo
Enumeration DateOctober 9, 2018
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
NPI 1659846426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in MI · 4704294394
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704294394 (MI)
3601 W 13 MILE RD, Royal Oak, MI 48073

Other Names 1

Former Name (1)Amanda Shotwell

Accepted Insurance

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.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 Amanda Jacob's NPI number?

The NPI number for Amanda Jacob is 1659846426. It was assigned to this individual provider in the NPPES registry on October 9, 2018. The provider is also known as Amanda Shotwell.

Where is Amanda Jacob located?

Amanda Jacob practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-0633.

What is Amanda Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

What insurance does Amanda Jacob accept?

Health plans from Priority Health list Amanda 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 Amanda Jacob was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.