JAYMI ANN JACOB
NPI 1871263020
Optometrist in Fort Worth, TX
About Jaymi Ann Jacob NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAYMI ANN JACOB (NPI 1871263020) is an individual optometrist in Fort Worth, Texas, licensed in Texas (10434) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of International American University At Puerto Rico - School Of Optometry (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jaymi Ann Jacob 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaymi Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Prairie, TX 75051
- Reassigned Medicare billing, Texas enrollment
- 808 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkland Health & Hospital System
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaymi Jacob's NPI number?
The NPI number for Jaymi Jacob is 1871263020. It was assigned to this individual provider in the NPPES registry on September 19, 2021.
Where is Jaymi Jacob located?
Jaymi Jacob practices at 9549 Sage Meadow Trl, Fort Worth, TX 76177. The listed phone number is (469) 441-7713.
What is Jaymi Jacob's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jaymi Jacob enrolled in Medicare?
Yes. Jaymi Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jaymi Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaymi Jacob reassigns Medicare benefits to Dallas County Hospital District (Grand Prairie, TX). 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 Jaymi Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jaymi Jacob affiliated with any hospitals?
According to CMS data, Jaymi Jacob is affiliated with Parkland Health & Hospital System.
When was this NPI record last updated?
The NPPES record for Jaymi Jacob was last updated on January 4, 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.
# Jaymi Ann Jacob · NPI 1871263020
Optometrist provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since September 19, 2021.
## Identity
- **NPI:** 1871263020 (Entity type: Individual)
- **Enumerated:** September 19, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 10434 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9549 SAGE MEADOW TRL, Fort Worth, TX 76177-8595
- **Phone:** (469) 441-7713
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dallas County Hospital District (NPI 1194090001, Grand Prairie, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** International American University At Puerto Rico - School Of Optometry, class of 2021
## Record status
- **NPPES last updated:** January 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871263020) · Data from the CMS NPPES public registry.