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JACOB STULTS DO
NPI 1932901352
Student in an Organized Health Care Education/Training Program in Ukiah, CA

Active since March 26, 2025PECOS EnrolledAccepts Medicare Assignment
260 HOSPITAL DR STE 103, UKIAH, CA 95482(707) 467-3123 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Stults Do NPPES

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

JACOB STULTS DO (NPI 1932901352) is an individual student in an organized health care education/training program in Ukiah, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2025).

NPPES Registry Identity

NPI1932901352
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB STULTSCredential: DO
Location Address260 HOSPITAL DR STE 103Ukiah, CA 95482-4568
Mailing Address260 Hospital Dr Ste 101Ukiah, CA 95482-4568
Phone(707) 467-3123
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2025
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1932901352 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.
260 HOSPITAL DR STE 103, Ukiah, CA 95482
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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 and accepts Medicare assignment

Jacob Stults Do 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 ID3678056975
PECOS Enrollment IDI20260316000186
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.

Other Providers at the Same Location NPPES 20

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

GRAHAM T CHELIUS M.D.
Family Medicine
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Mendocino County (707) 467-3123
MONICA JOSEPH DO
Student in an Organized Health Care Education/Training Program
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Mendocino County (707) 467-3123
LEAH KOOIMAN
Student in an Organized Health Care Education/Training Program
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Mendocino County (707) 467-3123
WILLIAM WEI MD
Family Medicine
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Mendocino County (707) 463-8000
MILI NAVANI DO
Student in an Organized Health Care Education/Training Program
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Mendocino County (707) 463-8000
NOHA ESHERA
Family Medicine
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Mendocino County (240) 565-2586
EVITA JOSEPH MD
Family Medicine (Adult Medicine)
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Mendocino County (707) 467-3123
TYLER LAUBACH DO
Family Medicine
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Mendocino County (707) 463-7495

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 Stults's NPI number?

The NPI number for Jacob Stults is 1932901352. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Jacob Stults located?

Jacob Stults practices at 260 Hospital Dr Ste 103, Ukiah, CA 95482. The listed phone number is (707) 467-3123.

What is Jacob Stults'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 Stults enrolled in Medicare?

Yes. Jacob Stults 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.

When was this NPI record last updated?

The NPPES record for Jacob Stults was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.