SUNI JACOB (APRN) – Nurse Practitioner, NPI 1194709402
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
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Provider Addresses for SUNI JACOB (APRN)
161, Rochela Drive, Southington, Capitol Planning Region, Connecticut, 06489, United States
SOUTHINGTON, CT 064894671
Phone: (203) 525-5561
Type: Mailing
2543, Dixwell Avenue, Beecher Heights, Hamden, New Haven County, Connecticut, 06518, United States
HAMDEN, CT 065141860
Phone: (203) 230-4160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 292 Open Payments records for all available years, with a total value of $6,092.
Total Amount is formed as General ($6,092) + Research ($0) + Ownership ($0) = $6,092.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,347).
Total Amount
$6,092
General + Research + Ownership
Payments
292
Total payment records
General Amount
$6,092
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,347 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $716 |
| Lilly USA, LLC | $715 |
| GlaxoSmithKline, LLC. | $321 |
| Novo Nordisk Inc | $276 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051216000016 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 447 | 208 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 117 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 114 | 22 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 112 | 21 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 59 | 59 | $0 |
Insurance plans in this area (ZIP 06489)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CT |
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