Jennifer Jacob, PA-C
NPI 1174105779 · Physician Assistant · Philadelphia, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Jacob, PA-C is a Physician Assistant provider in Philadelphia, PA (NPI 1174105779).
Provider details
- NPI number
- 1174105779
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MA062473 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2021-04-22
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Frequently asked questions
- What is Jennifer Jacob's NPI number?
- Jennifer Jacob's National Provider Identifier (NPI) is 1174105779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Jacob's specialty?
- Jennifer Jacob is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Jacob located?
- Jennifer Jacob's practice location on file with NPPES is 3400 Spruce St, Philadelphia, PA 19104-4238.
- What is Jennifer Jacob's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Jacob is (215) 662-3807.
- Does Jennifer Jacob accept Medicare?
- Jennifer Jacob is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Jacob's NPI active?
- Yes — Jennifer Jacob's NPI (1174105779) is active in the NPPES registry as of the last update on 2021-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.