RACHEL JACOB CRNP - NPI 1821777921 - Nurse Practitioner in Philadelphia, PA

Q: What is Rachel Jacob's NPI number?

The NPI number for Rachel Jacob is 1821777921. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Q: What is Rachel Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Jacob was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

On this page

About Rachel Jacob Crnp NPPES

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

RACHEL JACOB CRNP (NPI 1821777921) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027839) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821777921

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRACHEL JACOBCredential: CRNP

Location Address6129 PALMETTO STPhiladelphia, PA 19111-5729

Mailing Address6129 Palmetto StPhiladelphia, PA 19111-5729 · (610) 508-2584

Phone(215) 268-1720

Fax(215) 722-8516

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 17, 2023

Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1821777921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP027839

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN702304 (PA)

6129 PALMETTO ST, Philadelphia, PA 19111

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Jacob Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941657795

PECOS Enrollment IDI20231115003475

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 19111 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 9

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

KRUPA CHIEMELU

Nurse Practitioner (Psychiatric/Mental Health)