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JACOB ROBERT KNOWLTON
NPI 1710674783
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since April 20, 2023PECOS Enrolled
231 ALBERT SABIN WAY, ML 0558, CINCINNATI, OH 45267(513) 558-4748 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Robert Knowlton NPPES

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

JACOB ROBERT KNOWLTON (NPI 1710674783) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1710674783
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB ROBERT KNOWLTON
Location Address231 ALBERT SABIN WAY, ML 0558Cincinnati, OH 45267-0558
Mailing Address428 Bayberry Pointe Dr Nw Apt FGrand Rapids, MI 49534-4643 · (231) 327-8231
Phone(513) 558-4748
Sole ProprietorYes
Enumeration DateApril 20, 2023
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1710674783 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.
231 ALBERT SABIN WAY, ML 0558, Cincinnati, OH 45267
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Secondary Practice Location 1

Location 115 Michigan St NEGrand Rapids, MI 49503-2508 · Phone (616) 233-1678

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 Robert Knowlton 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 6

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

ADAM DANIEL PRICE MD
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (513) 675-5880
MICHELA MARIE CARTER MD
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (513) 558-4206
JACOB WAGNER
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (513) 558-4748
ANTHONY THANH VU M.D.
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558, UNIVERSITY OF CINCINNATI DEPT. OF SURGERY
CINCINNATI, OH 45267
Hamilton County (513) 558-4363
ALEXANDRA LEE
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (513) 558-4206
JONATHAN BEYELER MD
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (513) 558-4206

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 Knowlton's NPI number?

The NPI number for Jacob Knowlton is 1710674783. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Jacob Knowlton located?

Jacob Knowlton practices at 231 Albert Sabin Way, Ml 0558, Cincinnati, OH 45267. The listed phone number is (513) 558-4748.

What is Jacob Knowlton'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 Knowlton enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Knowlton was last updated on March 26, 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.