LINDA A JACOBS CRNP
NPI 1811058639
Nurse Practitioner - Adult Health in Philadelphia, PA
About Linda A Jacobs Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINDA A JACOBS CRNP (NPI 1811058639) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (TP003963X) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Linda A Jacobs Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Linda Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 373 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 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Linda Jacobs's NPI number?
The NPI number for Linda Jacobs is 1811058639. It was assigned to this individual provider in the NPPES registry on December 13, 2006.
Where is Linda Jacobs located?
Linda Jacobs practices at 3400 Civic Center Blvd 2nd Floor, Philadelphia, PA 19104. The listed phone number is (215) 615-0063.
What is Linda Jacobs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Linda Jacobs enrolled in Medicare?
Yes. Linda Jacobs is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Linda Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Linda Jacobs reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). 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 Linda Jacobs'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 Linda Jacobs was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Linda A Jacobs, CRNP · NPI 1811058639
Adult Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1811058639 (Entity type: Individual)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** TP003963X (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 CIVIC CENTER BLVD, 2ND FLOOR, Philadelphia, PA 19104-5127
- **Phone:** (215) 615-0063
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1679677975, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2017
- **Other identifiers:** Medicare UPIN P36999 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1811058639) · Data from the CMS NPPES public registry.