JACOB SMALL (PHD, ARNP-C) – Nurse Practitioner, NPI 1477550176

JACOB SMALL (PHD, ARNP-C) is a healthcare provider. based in Coral gables, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PHD, ARNP-C. They hold a License No. ARNP2163832 (FL). The NPI Number for JACOB SMALL (PHD, ARNP-C) is 1477550176

Main info

Male
Sole Proprietor
26 Years Of Experience
Name
JACOB SMALL (PHD, ARNP-C)
NPI
1477550176
Phone
Not provided
Address
PO BOX 143410
Enumeration Date
7 July 2005
Deactivation Date
20 March 2006
Reactivation Date
30 March 2006
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3054310386
Graduation Year
2000 (26 years ago)
PAC ID
7719964550
Professional Enrollment ID
I20040630000677
Address ID
FL330133814HI651XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

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Provider Addresses for JACOB SMALL (PHD, ARNP-C)

  • PO BOX 143410

    CORAL GABLES, FL 331143410

    Phone:

    Type: Mailing

  • 372, West 47th Street, Hialeah, Miami-Dade County, Florida, 33012, United States

    HIALEAH, FL 330123950

    Phone: (305) 698-0112

    Type: Location

  • 13805 SW 78TH CT

    PALMETTO BAY, FL 331581109

    Phone: (305) 972-2614

    Type: Mailing

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: 2004-06-30

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
I20040630000677INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes762204$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes681201$0
View full utilization report →

Insurance plans in this area (ZIP 33114)

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Provider's Procedures

JACOB SMALL (PHD, ARNP-C) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERFL11042Removal of skin and tissue first 20 sq cm or less1713

Reviews

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Frequently asked questions

How do payers reference JACOB SMALL (PHD, ARNP-C)?
For JACOB SMALL (PHD, ARNP-C), use NPI 1477550176 as the unique 10-digit identifier.
Active or inactive — what applies to JACOB SMALL (PHD, ARNP-C)?
You should see JACOB SMALL (PHD, ARNP-C) as active in CMS-hosted NPPES data.
What expertise is attributed to JACOB SMALL (PHD, ARNP-C)?
JACOB SMALL (PHD, ARNP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is JACOB SMALL (PHD, ARNP-C) registered?
Use Coral Gables, Florida as the headline location for JACOB SMALL (PHD, ARNP-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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