VIVIAN A. CLARK-JACOBS PA-C
NPI 1972698355
Physician Assistant - Medical in Cleveland, OH

Q: What is Vivian Clark-jacobs's NPI number?

The NPI number for Vivian Clark-jacobs is 1972698355. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Vivian Clark-jacobs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment

8300 HOUGH AVENUE, CLEVELAND, OH 44103(216) 231-7700(216) 231-7920 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Vivian A. Clark-jacobs Pa-c NPPES

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

VIVIAN A. CLARK-JACOBS PA-C (NPI 1972698355) is an individual medical provider in Cleveland, Ohio, licensed in Ohio (50000747) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1972698355

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameVIVIAN A. CLARK-JACOBSCredential: PA-C

Location Address8300 HOUGH AVENUECleveland, OH 44103

Mailing Address8300 Hough AvenueCleveland, OH 44103 · (216) 231-7700 · Fax (216) 231-7920

Phone(216) 231-7700

Fax(216) 231-7920

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 3, 2006

Last NPPES UpdateFebruary 15, 2008

✔ NPI 1972698355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OH · 50000747

8300 HOUGH AVENUE, Cleveland, OH 44103

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Vivian A. Clark-jacobs Pa-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 ID840373742

PECOS Enrollment IDI20080215000392

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.

Areas of Expertise CMS Part B claims 5

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.

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

42 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services28 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

27 services18 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

27 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers13 claims44 services$6.59 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 9

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

DR. SANDRA J LACIVITA MSN, CNM

Specialist