MS. DIANA MARY JACOB PA-C
NPI 1801336524
Physician Assistant in Dallas, TX

Q: What is Diana Jacob's NPI number?

The NPI number for Diana Jacob is 1801336524. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Q: What is Diana Jacob's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Jacob was last updated on November 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 28, 2017PECOS Enrolled

5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390(214) 648-6400(214) 648-5461 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2025, Nov 25, 2019, Mar 20, 2019 and 2 more (5 updates tracked since 2017).

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About Ms. Diana Mary Jacob Pa-c NPPES

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

MS. DIANA MARY JACOB PA-C (NPI 1801336524) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA11109) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801336524

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. DIANA MARY JACOBCredential: PA-C

Location Address5323 HARRY HINES BLVD STOP 7200Dallas, TX 75390-7201

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078

Phone(214) 648-6400

Fax(214) 648-5461

Sole ProprietorNo

Enumeration DateFebruary 28, 2017

Last NPPES UpdateNovember 14, 20255 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1801336524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA11109

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5323 HARRY HINES BLVD STOP 7200, Dallas, TX 75390

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Other Identifiers 3

Medicaid567258YNGSTX

Medicaid567259YL7BTX

Medicaid567256YL7ATX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Diana Mary Jacob Pa-c 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 75390 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

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 19

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

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