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JACOB C SORENSON
NPI 1821747569
Student in an Organized Health Care Education/Training Program in Temple, TX

Active since March 21, 2022PECOS Enrolled
2401 SOUTH 31ST STREET, MS-35-300, TEMPLE, TX 76508(254) 724-5455 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacob C Sorenson NPPES

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

JACOB C SORENSON (NPI 1821747569) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821747569
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB C SORENSON
Location Address2401 SOUTH 31ST STREET, MS-35-300Temple, TX 76508
Mailing Address2401 South 31st Street, Ms-35-300Temple, TX 76508
Phone(254) 724-5455
Sole ProprietorYes
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1821747569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2401 SOUTH 31ST STREET, MS-35-300, Temple, TX 76508
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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 C Sorenson 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.

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 Sorenson's NPI number?

The NPI number for Jacob Sorenson is 1821747569. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Jacob Sorenson located?

Jacob Sorenson practices at 2401 South 31st Street, Ms-35-300, Temple, TX 76508. The listed phone number is (254) 724-5455.

What is Jacob Sorenson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Sorenson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Sorenson was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.