Jacob Lister, MD, PHD
NPI 1063155588 · Student in an Organized Health Care Education/Training Program · New Haven, CT
Enrolled with Medicare as Order and Referring Only - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Lister, MD, PHD is a Student in an Organized Health Care Education/Training Program provider in New Haven, CT (NPI 1063155588).
Provider details
- NPI number
- 1063155588
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-14
- Last updated
- 2022-04-14
- Certified
- 2022-04-14
Frequently asked questions
- What is Jacob Lister's NPI number?
- Jacob Lister's National Provider Identifier (NPI) is 1063155588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Lister's specialty?
- Jacob Lister is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jacob Lister located?
- Jacob Lister's practice location on file with NPPES is 230 S Frontage Rd, New Haven, CT 06519-1124.
- What is Jacob Lister's phone number?
- The practice phone number listed in the NPPES registry for Jacob Lister is (203) 737-7129.
- Does Jacob Lister accept Medicare?
- Jacob Lister is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Lister's NPI active?
- Yes — Jacob Lister's NPI (1063155588) is active in the NPPES registry as of the last update on 2022-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.