SHINY JACOB
NPI 1700638293
Nurse Practitioner - Psychiatric/Mental Health in Redlands, CA

Q: What is Shiny Jacob's NPI number?

The NPI number for Shiny Jacob is 1700638293. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Q: What is Shiny Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shiny Jacob was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 05, 2024PECOS EnrolledAccepts Medicare Assignment

1030 NEVADA ST, REDLANDS, CA 92374(909) 553-0055 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shiny Jacob NPPES

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

SHINY JACOB (NPI 1700638293) is an individual psychiatric/mental health provider in Redlands, California, licensed in California (95028911) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700638293

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHINY JACOB

Location Address1030 NEVADA STRedlands, CA 92374-2957

Mailing Address5360 Corison WayFontana, CA 92336-5995 · (909) 553-0055

Phone(909) 553-0055

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 5, 2024

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1700638293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95028911

1030 NEVADA ST, Redlands, CA 92374

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shiny Jacob is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567989742

PECOS Enrollment IDI20250512000435

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 92374 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 4

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

FELECIA KATHREEN ABEL PSYCHIATRIC TECH

Licensed Psychiatric Technician

1030 NEVADA ST
REDLANDS, CA 92374

San Bernardino County (909) 792-0747

ISMAEL LEONARDO RAMIREZ

Licensed Psychiatric Technician

1030 NEVADA ST
REDLANDS, CA 92374

San Bernardino County (877) 527-7227

RALPH MATTHEW RAMOS

Nurse Practitioner (Psychiatric/Mental Health)

1030 NEVADA ST
REDLANDS, CA 92374

San Bernardino County (909) 966-5500

AKTA PATEL

Nurse Practitioner (Psychiatric/Mental Health)

1030 NEVADA ST
REDLANDS, CA 92374

San Bernardino County (909) 966-5500

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 Shiny Jacob's NPI number?

The NPI number for Shiny Jacob is 1700638293. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Shiny Jacob located?

Shiny Jacob practices at 1030 Nevada St, Redlands, CA 92374. The listed phone number is (909) 553-0055.

What is Shiny Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shiny Jacob enrolled in Medicare?

Yes. Shiny Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shiny Jacob was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.