JACOB REUBEN STEPHERSON
NPI 1851089403
Student in an Organized Health Care Education/Training Program in Pensacola, FL

Active since May 01, 2023PECOS Enrolled
535 TOM SAWYER LN, PENSACOLA, FL 32534(850) 316-5041 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2023, May 1, 2023 (2 updates tracked since 2023).

About Jacob Reuben Stepherson NPPES

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

JACOB REUBEN STEPHERSON (NPI 1851089403) is an individual student in an organized health care education/training program in Pensacola, Florida and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851089403
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB REUBEN STEPHERSON
Location Address535 TOM SAWYER LNPensacola, FL 32534-1029
Mailing Address535 Tom Sawyer LnPensacola, FL 32534-1029 · (850) 316-5041
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1851089403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
535 TOM SAWYER LN, Pensacola, FL 32534

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 Reuben Stepherson 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 Stepherson's NPI number?

The NPI number for Jacob Stepherson is 1851089403. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Jacob Stepherson located?

Jacob Stepherson practices at 535 Tom Sawyer Ln, Pensacola, FL 32534. The listed phone number is (850) 316-5041.

What is Jacob Stepherson'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 Stepherson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Stepherson was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.