MR. JACOB R CORBIN – Critical Care Medicine Nurse Practitioner, NPI 1720534068

MR. JACOB R CORBIN is a healthcare provider. based in Shadyside, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP016133 (PA). The NPI Number for MR. JACOB R CORBIN is 1720534068

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACOB R CORBIN
NPI
1720534068
Phone
(903) 821-5827
Address
205 LEHIGH AVE APT 1
Enumeration Date
28 August 2016
Last Update Date
28 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696835510
Graduation Year
2015 (11 years ago)
PAC ID
4082995899
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20231117000977
Address ID
MI491202207NI31XXXAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MR. JACOB R CORBIN

  • Lehigh Avenue, Shadyside, Pittsburgh, Allegheny County, Pennsylvania, 15232, United States

    SHADYSIDE, PA 152321725

    Phone: (903) 821-5827

    Type: Mailing

  • 200 LOTHROP STREET (UPMC PRESBY- CCM OFFICE)

    6 FLOOR SCAIFE HALL

    PITTSBURGH, PA 15232

    Phone: (903) 821-5827

    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: 2023-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20170109002786INurse PractitionerPATBD
I20200522002278INurse PractitionerNYTBD
I20200925000686INurse PractitionerCTTBD
I20231117000977INurse PractitionerMITBD

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 15232)

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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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What is the registry number for MR. JACOB R CORBIN?
The registry entry for MR. JACOB R CORBIN shows NPI 1720534068.
Should I treat MR. JACOB R CORBIN as an active provider?
Patients and plans typically see MR. JACOB R CORBIN as active in the national extract.
What services align with MR. JACOB R CORBIN's listing?
MR. JACOB R CORBIN's public classification highlights Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JACOB R CORBIN?
MR. JACOB R CORBIN shows a connection to Shadyside, Pennsylvania in registry-derived data.
Who maintains MR. JACOB R CORBIN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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