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JACOB JEWELL FNP-C
NPI 1902419104
Nurse Practitioner - Family in Saint Clair Shores, MI

Active since August 26, 2020PECOS EnrolledAccepts Medicare Assignment
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081(586) 771-4820(586) 771-6620 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2020, Aug 26, 2020 (2 updates tracked since 2020).

About Jacob Jewell Fnp-c NPPES

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

JACOB JEWELL FNP-C (NPI 1902419104) is an individual family provider in Saint Clair Shores, Michigan, licensed in Michigan (4704301664) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902419104
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB JEWELLCredential: FNP-C
Location Address20952 E 12 MILE RD STE 200Saint Clair Shores, MI 48081-3203
Mailing Address20952 E 12 Mile Rd Ste 200Saint Clair Shores, MI 48081-3203 · (586) 771-4820 · Fax (586) 771-6620
Phone(586) 771-4820
Fax(586) 771-6620
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 26, 2020
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1902419104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704301664
20952 E 12 MILE RD STE 200, Saint Clair Shores, MI 48081
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Jacob Jewell Fnp-c 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 ID6406276310
PECOS Enrollment IDI20201014003866
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jacob Jewell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Physician Services Of Michigan, P.C.
Same address
Urology
20952 12 MILE RD, SUITE 200
St Clair Shores, MI 48081
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Michigan Institute Of Urology PC
  • 21 clinicians in this Medicare group
NPI 1427027416 (586) 771-4820
Complexcare Medical Group Midwest H PLLC
28 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 clinicians in this Medicare group
NPI 1457144933 (248) 660-1220
Theoria Medical
28 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Jawad A Shah, MD PC
55 mi
Specialist
4800 S SAGINAW ST, STE 1805
Flint, MI 48507
  • Reassigned Medicare billing, Michigan enrollment
  • 246 clinicians in this Medicare group
NPI 1942402391 (810) 732-8336
Signify Health Medical Associates, PLLC
1,007 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers30 claims5,380 services$4.95 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers12 claims43 services$9.37 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
5 suppliers16 claims64 services$5.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

CARRIE L ANDERSON
Nurse Practitioner (Family)
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
DR. ROBERT LEWIS ELGIN D.O.
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
MICHIGAN INSTITUTE OF UROLOGY LABORATORY
Clinical Medical Laboratory
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
JOHN C PANOS MD
Pathology (Anatomic Pathology & Clinical Pathology)
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
MAHDI BAZZI MD
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
DR. JACK TREBELHORN MD
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
JOHN VOLLMER PA-C
Physician Assistant
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
GABRIELA MAZUR DO
Urology
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820

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 Jewell's NPI number?

The NPI number for Jacob Jewell is 1902419104. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Jacob Jewell located?

Jacob Jewell practices at 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081. The listed phone number is (586) 771-4820.

What is Jacob Jewell's specialty?

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

Is Jacob Jewell enrolled in Medicare?

Yes. Jacob Jewell 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 organizations bill Medicare for Jacob Jewell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Jewell reassigns Medicare benefits to 5 organizations: Alliance Physician Services Of Michigan, P.C. (St Clair Shores, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Theoria Medical (Novi, MI), Jawad A Shah, MD PC (Flint, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Jacob Jewell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Jewell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jacob Jewell 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 Jacob Jewell was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.