MS. PENNY LYNN JACOBS CRNP
NPI 1669593489
Nurse Practitioner - Family in College Park, MD
About Ms. Penny Lynn Jacobs Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. PENNY LYNN JACOBS CRNP (NPI 1669593489) is an individual family provider in College Park, Maryland, licensed in Maryland (R078476) and active in the NPI registry since April 2007. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Penny Lynn Jacobs Crnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20742 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLLEGE PARK, MD 20742
COLLEGE PARK, MD 20742
COLLEGE PARK, MD 20742
COLLEGE PARK, MD 20742
COLLEGE PARK, MD 20742
COLLEGE PARK, MD 20742
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 Penny Jacobs's NPI number?
The NPI number for Penny Jacobs is 1669593489. It was assigned to this individual provider in the NPPES registry on April 2, 2007.
Where is Penny Jacobs located?
Penny Jacobs practices at University Of Maryland Health Ctr Bldg 140 Campus Dr, College Park, MD 20742. The listed phone number is (301) 314-8190.
What is Penny Jacobs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Penny Jacobs enrolled in Medicare?
No. Penny Jacobs has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Penny Jacobs was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Penny Lynn Jacobs, CRNP · NPI 1669593489
Family physician in College Park, Maryland. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1669593489 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R078476 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** UNIVERSITY OF MARYLAND HEALTH CTR, BLDG 140 CAMPUS DR, College Park, MD 20742-0001
- **Phone:** (301) 314-8190 · **Fax:** (301) 314-3596
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669593489) · Data from the CMS NPPES public registry.