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JACOB DEARBORN
NPI 1952037053
Student in an Organized Health Care Education/Training Program in Bedminster, PA

Active since July 29, 2022PECOS Enrolled
750 KELLERS CHURCH RD, BEDMINSTER, PA 18910(267) 374-2313 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 8, 2022, Jul 29, 2022 (2 updates tracked since 2022).

About Jacob Dearborn NPPES

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

JACOB DEARBORN (NPI 1952037053) is an individual student in an organized health care education/training program in Bedminster, Pennsylvania and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952037053
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB DEARBORN
Location Address750 KELLERS CHURCH RDBedminster, PA 18910
Mailing AddressPo Box 145Bedminster, PA 18910-0145 · (267) 374-2313
Phone(267) 374-2313
Sole ProprietorYes
Enumeration DateJuly 29, 2022
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1952037053 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.
750 KELLERS CHURCH RD, Bedminster, PA 18910
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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 (PECOS)

Jacob Dearborn 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 Dearborn's NPI number?

The NPI number for Jacob Dearborn is 1952037053. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Jacob Dearborn located?

Jacob Dearborn practices at 750 Kellers Church Rd, Bedminster, PA 18910. The listed phone number is (267) 374-2313.

What is Jacob Dearborn'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 Dearborn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Dearborn was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.