NANCY ANNE JACOB PA-C
NPI 1962528174
Physician Assistant - Medical in Philadelphia, PA
About Nancy Anne Jacob Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANCY ANNE JACOB PA-C (NPI 1962528174) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052520) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nancy Anne Jacob Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Nancy Jacob's NPI number?
The NPI number for Nancy Jacob is 1962528174. It was assigned to this individual provider in the NPPES registry on March 21, 2007.
Where is Nancy Jacob located?
Nancy Jacob practices at 3400 Spruce St Ground Rhoads, Philadelphia, PA 19104. The listed phone number is (215) 662-7355.
What is Nancy Jacob's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nancy Jacob enrolled in Medicare?
Yes. Nancy Jacob is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nancy Jacob was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Nancy Anne Jacob, PA-C · NPI 1962528174
Medical physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1962528174 (Entity type: Individual)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** MA052520 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, GROUND RHOADS, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-7355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 22, 2011
- **Other identifiers:** Medicare UPIN P58673 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1962528174) · Data from the CMS NPPES public registry.