JOSHLYN JACOB (AUD) – Audiologist, NPI 1134979420

JOSHLYN JACOB (AUD) is a healthcare provider. based in Palm harbor, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AY2796 (FL). The NPI Number for JOSHLYN JACOB (AUD) is 1134979420

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JOSHLYN JACOB (AUD)
NPI
1134979420
Phone
(800) 277-1182
Address
2445 Tampa Rd Ste H
Enumeration Date
27 March 2024
Last Update Date
27 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8132652255
Graduation Year
2023 (3 years ago)
PAC ID
6608215124
Group Practice PAC ID
8921176363
Professional Enrollment ID
I20240417001661
Address ID
FL336254056TA6615XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

Provider Addresses for JOSHLYN JACOB (AUD)

  • 2445 Tampa Rd Ste H

    Palm Harbor, FL 346835849

    Phone: (800) 277-1182

    Type: Location

  • 6615 GUNN HWY

    TAMPA, FL 336254056

    Phone: (813) 265-2255

    Fax: (813) 265-3355

    Type: Mailing

  • 11200 SEMINOLE BLVD STE 301

    LARGO, FL 337783240

    Phone: (727) 977-5222

    Fax: (813) 265-3355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240417001661IQualified AudiologistFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34683)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921176363View full group profile
NameSpecialtyState
Qualified AudiologistFL
Qualified AudiologistFL
Qualified AudiologistFL
-FL
Qualified AudiologistFL
Qualified AudiologistFL

Reviews

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Frequently asked questions

What is the standard ID for JOSHLYN JACOB (AUD) in the U.S.?
In the U.S., JOSHLYN JACOB (AUD) is identified by NPI 1134979420.
Quick check: is JOSHLYN JACOB (AUD) active?
Public NPPES data shows JOSHLYN JACOB (AUD) with an active NPI status right now.
How should patients interpret JOSHLYN JACOB (AUD)'s specialty?
The extract shows Audiologist for JOSHLYN JACOB (AUD). Clinical services aligned with this taxonomy classification.
What city is tied to JOSHLYN JACOB (AUD)?
The directory associates JOSHLYN JACOB (AUD) with Palm Harbor, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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