SUSAN JACOB NP
NPI 1821468257
Nurse Practitioner - Primary Care in Stafford, TX

Active since September 28, 2015PECOS Enrolled
212 ANGELA LN, STAFFORD, TX 77477(281) 781-9578 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2018, Aug 24, 2016, Sep 28, 2015 (3 updates tracked since 2015).

About Susan Jacob Np NPPES

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

SUSAN JACOB NP (NPI 1821468257) is an individual primary care provider in Stafford, Texas, licensed in Texas (AP126808) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821468257
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSUSAN JACOBCredential: NP
Location Address212 ANGELA LNStafford, TX 77477
Mailing Address212 Angela LnStafford, TX 77477-4626 · (281) 781-9578
Sole ProprietorNo
Enumeration DateSeptember 28, 2015
Last NPPES UpdateAugust 10, 20183 updates tracked since enumeration
NPI 1821468257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TX · AP126808
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP126808 (TX)
212 ANGELA LN, Stafford, TX 77477

Accepted 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)

Susan Jacob Np 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 77477 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Susan Jacob's NPI number?

The NPI number for Susan Jacob is 1821468257. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Susan Jacob located?

Susan Jacob practices at 212 Angela Ln, Stafford, TX 77477. The listed phone number is (281) 781-9578.

What is Susan Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Susan Jacob enrolled in Medicare?

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

What insurance does Susan Jacob accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare and 2 other insurers list Susan Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Jacob was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.