JACOB KLY THIESSEN
NPI 1679421846
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
About Jacob Kly Thiessen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB KLY THIESSEN (NPI 1679421846) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Kly Thiessen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WINSTON-SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
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 Jacob Thiessen's NPI number?
The NPI number for Jacob Thiessen is 1679421846. It was assigned to this individual provider in the NPPES registry on March 21, 2026.
Where is Jacob Thiessen located?
Jacob Thiessen practices at 1 Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-4498.
What is Jacob Thiessen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Thiessen enrolled in Medicare?
Yes. Jacob Thiessen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob Thiessen was last updated on March 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
