Mallory Jacober
NPI 1871200964 · Pediatric Nurse Practitioner · Troy, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mallory Jacober is a Pediatric Nurse Practitioner provider in Troy, MI (NPI 1871200964).
Provider details
- NPI number
- 1871200964
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704319264 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 2440 Shawood StNovi, MI 48377-1970Phone: (248) 535-2454
- 44199 Dequindre Rd Ste 502Troy, MI 48085-1128Phone: (248) 964-5880
Registry dates
- Enumerated
- 2022-10-31
- Last updated
- 2023-02-03
- Certified
- 2023-02-03
Frequently asked questions
- What is Mallory Jacober's NPI number?
- Mallory Jacober's National Provider Identifier (NPI) is 1871200964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory Jacober's specialty?
- Mallory Jacober is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mallory Jacober located?
- Mallory Jacober's practice location on file with NPPES is 44201 Dequindre Rd Ste Ec, Troy, MI 48085-1117.
- What is Mallory Jacober's phone number?
- The practice phone number listed in the NPPES registry for Mallory Jacober is (248) 259-3088.
- Does Mallory Jacober accept Medicare?
- Mallory Jacober is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mallory Jacober's NPI active?
- Yes — Mallory Jacober's NPI (1871200964) is active in the NPPES registry as of the last update on 2023-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.