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NATHAN RICHARD JACOBS
NPI 1679332290
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 18, 2024PECOS Enrolled
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-2605(314) 977-1664 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nathan Richard Jacobs NPPES

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

NATHAN RICHARD JACOBS (NPI 1679332290) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679332290
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN RICHARD JACOBS
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address5403 Quentin StPhiladelphia, PA 19128-2818 · (314) 606-5522
Phone(314) 977-2605
Fax(314) 977-1664
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1679332290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1201 S GRAND BLVD, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Richard Jacobs 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.

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.

DOUG LONGO APRN
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
JOHN JOSEPH HOUSER
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
NABIHA NOOR SHAMSHUDDIN MD
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
AMAN PATEL
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
MS. KEELEY FERRELL RYAN PA-C
Physician Assistant
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-1320
PATRICK SWEENEY
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
DR. SHAMEELA NASRULLAH KHIMANI MD
Pediatrics
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3239
IBRAHIM SHAMASNEH M.D.
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000

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 Nathan Jacobs's NPI number?

The NPI number for Nathan Jacobs is 1679332290. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Nathan Jacobs located?

Nathan Jacobs practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-2605.

What is Nathan Jacobs's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Jacobs enrolled in Medicare?

Yes. Nathan Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Jacobs was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.