JACOB SJIRK SASLOW PMHNP-BC
NPI 1760869408
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since May 01, 2015PECOS Enrolled
1045 JAMES ST, SYRACUSE, NY 13203(315) 530-2290 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2021, Mar 17, 2018, Mar 8, 2018 (3 updates tracked since 2018).

About Jacob Sjirk Saslow Pmhnp-bc NPPES

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

JACOB SJIRK SASLOW PMHNP-BC (NPI 1760869408) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (F403586) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760869408
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB SJIRK SASLOWCredential: PMHNP-BC
Location Address1045 JAMES STSyracuse, NY 13203-2730
Mailing Address1045 James StSyracuse, NY 13203-2730 · (315) 530-2290
Sole ProprietorYes
Enumeration DateMay 1, 2015
Last NPPES UpdateSeptember 8, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1760869408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F403586
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 008076-1 (NY)
1045 JAMES ST, Syracuse, NY 13203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Sjirk Saslow Pmhnp-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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Saslow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foster Care Agency
1045 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Nurse Practitioner (Family)
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Licensed Practical Nurse
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Social Worker
1045 JAMES ST
SYRACUSE, NY 13203
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203

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 Saslow's NPI number?

The NPI number for Jacob Saslow is 1760869408. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Jacob Saslow located?

Jacob Saslow practices at 1045 James St, Syracuse, NY 13203. The listed phone number is (315) 530-2290.

What is Jacob Saslow's specialty?

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

Is Jacob Saslow enrolled in Medicare?

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

Which organization bills Medicare for Jacob Saslow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Saslow reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Saslow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Saslow was last updated on September 8, 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.