KIMBERLY JACOB – Family Nurse Practitioner, NPI 1356458889
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
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Provider Addresses for KIMBERLY JACOB
Greensburg, Westmoreland County, Pennsylvania, United States
GREENSBURG, PA 15601
Phone: (412) 561-7246
Fax: (412) 235-4011
Type: Mailing
1275, South Main Street, Greensburg, Kiowa Rural Township, Kiowa County, Kansas, 67054, United States
SUITE103
GREENSBURG, PA 15601
Phone: (412) 561-7246
Fax: (412) 235-4011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $243.
Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Amgen Inc. ($188).
Total Amount
$243
General + Research + Ownership
Payments
5
Total payment records
General Amount
$243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $188 |
| Boston Scientific Corporation | $36 |
| ABBVIE INC. | $18 |
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: 2006-10-11
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 |
|---|---|---|---|---|
| I20061011000049 | I | Nurse Practitioner | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 15601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| P S Y C H I A T R Y | PA | |
| Physician Assistant | NJ | |
| Nurse Practitioner | PA | |
| Cardiovascular Disease (Cardiology) | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | PA |
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