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ANNIE JACOB DNP
NPI 1710570601
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since February 11, 2021PECOS Enrolled
3033 N CENTRAL AVE, PHOENIX, AZ 85012(602) 230-7373(602) 682-7455 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annie Jacob Dnp NPPES

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

ANNIE JACOB DNP (NPI 1710570601) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (250873) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710570601
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANNIE JACOBCredential: DNP
Location Address3033 N CENTRAL AVEPhoenix, AZ 85012-2809
Mailing Address3620 N 3rd St # 550Phoenix, AZ 85012-2020 · (602) 230-7373 · Fax (602) 682-7455
Phone(602) 230-7373
Fax(602) 682-7455
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1710570601 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 AZ · 250873
3033 N CENTRAL AVE, Phoenix, AZ 85012
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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)

Annie Jacob 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 85012 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

WINSTON S THOMAS, MD, PC
Surgery (Vascular Surgery)
3033 N CENTRAL AVE, STE 610
PHOENIX, AZ 85012
Maricopa County (602) 266-1556
DENOVA COLLABORATIVE HEALTH, LLC
Clinic/Center (Multi-Specialty)
3033 N CENTRAL AVE, 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373
COURTNEY DOWNING
Social Worker (Clinical)
3033 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (877) 809-5092

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 Annie Jacob's NPI number?

The NPI number for Annie Jacob is 1710570601. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Annie Jacob located?

Annie Jacob practices at 3033 N Central Ave, Phoenix, AZ 85012. The listed phone number is (602) 230-7373.

What is Annie Jacob's specialty?

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

Is Annie Jacob enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Annie Jacob was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.