JACOB ROBERT ROSS FNP-BC
NPI 1720907942
Nurse Practitioner - Family in Shelbyville, IN

Active since July 13, 2026PECOS Enrolled
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176(317) 421-5671(765) 247-7619 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacob Robert Ross Fnp-bc NPPES

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

JACOB ROBERT ROSS FNP-BC (NPI 1720907942) is an individual family provider in Shelbyville, Indiana, licensed in Indiana (28180337A) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720907942
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB ROBERT ROSSCredential: FNP-BC
Location Address2451 INTELLIPLEX DRShelbyville, IN 46176-8535
Mailing Address2451 Intelliplex DrShelbyville, IN 46176-8535 · (317) 421-5671 · Fax (765) 247-7619
Fax(765) 247-7619
Sole ProprietorNo
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1720907942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28180337A
2451 INTELLIPLEX DR, Shelbyville, IN 46176

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 Ross Fnp-bc 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 46176 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

Radiology (Diagnostic Radiology)
2451 INTELLIPLEX DR
SHELBYVILLE, IN 46176
Internal Medicine
2451 INTELLIPLEX DR
SHELBYVILLE, IN 46176
Specialist/Technologist (Athletic Trainer)
2451 INTELLIPLEX DR
SHELBYVILLE, IN 46176
Physician Assistant
2451 INTELLIPLEX DR
SHELBYVILLE, IN 46176
Physician Assistant
2451 INTELLIPLEX DR, STE 260
SHELBYVILLE, IN 46176
Radiology (Diagnostic Radiology)
2451 INTELLIPLEX DR
SHELBYVILLE, IN 46176
Psychiatry & Neurology (Neurology)
2451 INTELLIPLEX DR
SHELBYVILLE, IN 46176
Surgery (Vascular Surgery)
2451 INTELLIPLEX DR
SHELBYVILLE, IN 46176

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 Ross's NPI number?

The NPI number for Jacob Ross is 1720907942. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Jacob Ross located?

Jacob Ross practices at 2451 Intelliplex Dr, Shelbyville, IN 46176. The listed phone number is (317) 421-5671.

What is Jacob Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Ross enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Ross was last updated on July 13, 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.