MRS. MARY DEENA JACOB (FNP) – Family Nurse Practitioner, NPI 1518425982
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. MARY DEENA JACOB (FNP)
McDermott Road, Plano, Collin County, Texas, 75025, United States
PLANO, TX 75025
Phone: (972) 908-2444
Type: Location
1109, Burnet Drive, Silhouette, Wetsel, Allen, Collin County, Texas, 75002, United States
ALLEN, TX 75002
Phone: (214) 901-5454
Type: Mailing
411 E MCDERMOTT DR STE A
ALLEN, TX 750022854
Phone: (972) 227-3464
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Amgen Inc. ($47).
Total Amount
$134
General + Research + Ownership
Payments
8
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $47 |
| Verity Pharmaceuticals Inc. | $43 |
| Acella Pharmaceuticals, LLC | $16 |
| ABBVIE INC. | $15 |
| PFIZER INC. | $13 |
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: 2019-09-26
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 |
|---|---|---|---|---|
| I20190926002876 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | TX | |
| - | TX | |
| General Practice | TX | |
| Family Practice | AL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX |
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