Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB RILEY DEWEES DNP
NPI 1679201404
Nurse Practitioner in Sacramento, CA

Q: What is Jacob Dewees's NPI number?

The NPI number for Jacob Dewees is 1679201404. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Q: What is Jacob Dewees's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Dewees was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.

Active since August 10, 2022PECOS Enrolled

4301 X ST, SACRAMENTO, CA 95817(916) 734-2011 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Oct 31, 2022, Aug 10, 2022 (3 updates tracked since 2022).

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About Dr. Jacob Riley Dewees Dnp NPPES

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

DR. JACOB RILEY DEWEES DNP (NPI 1679201404) is an individual nurse practitioner in Sacramento, California, licensed in California (95022172) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1679201404

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDR. JACOB RILEY DEWEESCredential: DNP

Location Address4301 X STSacramento, CA 95817-2214

Mailing Address4301 X StSacramento, CA 95817-2214

Phone(916) 734-2011

Sole ProprietorNo

Enumeration DateAugust 10, 2022

Last NPPES UpdateJune 21, 20263 updates tracked since enumeration

NPPES CertifiedJune 21, 2026

✔ NPI 1679201404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95022172

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 10003801 (OR)

4301 X ST, Sacramento, CA 95817

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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (034) 947-5515 · Fax (503) 494-4997

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Riley Dewees Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95817 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 20

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

ALICIA MARIE MARZOLF RD

Dietitian, Registered