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AYANA M JACOB PA-C
NPI 1679467484
Physician Assistant in Newington, CT

Active since June 05, 2025PECOS Enrolled
53 BURDON LN, NEWINGTON, CT 06111(860) 422-3826 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ayana M Jacob Pa-c NPPES

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

AYANA M JACOB PA-C (NPI 1679467484) is an individual physician assistant in Newington, Connecticut, licensed in Connecticut (7176) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679467484
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAYANA M JACOBCredential: PA-C
Location Address53 BURDON LNNewington, CT 06111-2715
Mailing Address53 Burdon LnNewington, CT 06111-2715 · (860) 422-3826
Phone(860) 422-3826
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2025
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1679467484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 7176
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
53 BURDON LN, Newington, CT 06111
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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)

Ayana M Jacob Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365950532
PECOS Enrollment IDI20250731002168
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 06111 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ayana Jacob's NPI number?

The NPI number for Ayana Jacob is 1679467484. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Ayana Jacob located?

Ayana Jacob practices at 53 Burdon Ln, Newington, CT 06111. The listed phone number is (860) 422-3826.

What is Ayana Jacob's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ayana Jacob enrolled in Medicare?

Yes. Ayana Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ayana Jacob was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.