SUSAN BIJI JACOB (APRN) – Adult Health Nurse Practitioner, NPI 1801134390

SUSAN BIJI JACOB (APRN) is a healthcare provider. based in Nowata, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 70896 (OK). The NPI Number for SUSAN BIJI JACOB (APRN) is 1801134390

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN BIJI JACOB (APRN)
NPI
1801134390
Phone
(918) 273-1841
Address
114 W DELAWARE AVE
Enumeration Date
18 January 2013
Last Update Date
18 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
5395980577
Group Practice PAC ID
3173514387
Professional Enrollment ID
I20130315000328
Address ID
OK731055104OK4400XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for SUSAN BIJI JACOB (APRN)

  • 114 W DELAWARE AVE

    NOWATA, OK 740482601

    Phone: (918) 273-1841

    Fax: (918) 273-1843

    Type: Mailing

  • 4400 N LINCOLN BLVD

    OKLAHOMA CITY, OK 731055104

    Phone: (405) 422-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,451.

Total Amount is formed as General ($1,451) + Research ($0) + Ownership ($0) = $1,451.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($529).

Total Amount

$1,451

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-03-15

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
I20130315000328INurse PractitionerOKTBD

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 minutes9146$0
99212Established patient office or other outpatient visit, 10-19 minutes7619$0
View full utilization report →

Insurance plans in this area (ZIP 74048)

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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: 3173514387View full group profile
NameSpecialtyState
-OK
Nurse PractitionerOK
P S Y C H I A T R YOK
Nurse PractitionerIA
Mental Health CounselorOK
Mental Health CounselorOK
P S Y C H I A T R YCA
Clinical Social WorkerOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

What identifier follows SUSAN BIJI JACOB (APRN) across health systems?
The NPI 1801134390 uniquely identifies SUSAN BIJI JACOB (APRN) in U.S. healthcare data.
Does the public listing show SUSAN BIJI JACOB (APRN) as active?
SUSAN BIJI JACOB (APRN)'s NPI record reflects an active status in NPPES.
What services align with SUSAN BIJI JACOB (APRN)'s listing?
SUSAN BIJI JACOB (APRN)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit SUSAN BIJI JACOB (APRN) in Nowata, Oklahoma?
For routing, start with Nowata, Oklahoma for SUSAN BIJI JACOB (APRN), then verify phone and hours locally.
Who maintains SUSAN BIJI JACOB (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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