ALICIA FAYE JACOBS (PA-C) – Medical Physician Assistant, NPI 1588407803

ALICIA FAYE JACOBS (PA-C) is a healthcare provider. based in Spotsylvania, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110010610 (VA). The NPI Number for ALICIA FAYE JACOBS (PA-C) is 1588407803

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA FAYE JACOBS (PA-C)
NPI
1588407803
Phone
(540) 786-1200
Address
9763 COURTHOUSE RD
Enumeration Date
14 June 2024
Last Update Date
22 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407861200
Graduation Year
2024 (2 years ago)
PAC ID
9234652603
Group Practice PAC ID
7618959750
Professional Enrollment ID
I20250326001556
Address ID
VA224076466FR2511XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for ALICIA FAYE JACOBS (PA-C)

  • 9763 COURTHOUSE RD

    SPOTSYLVANIA, VA 225531915

    Phone: (540) 786-1200

    Fax: (540) 786-3195

    Mailing address matches the actual address.

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: 2025-03-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250326001556IPhysician AssistantVATBD

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 22553)

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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: 7618959750View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantMO
Physician AssistantVA
-SC
Physician AssistantVA
-VA
Family PracticeVA
Nurse PractitionerVA
General Practice, Internal Medicine, Emergency MedicineVA

Reviews

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Frequently asked questions

How is ALICIA FAYE JACOBS (PA-C) identified in CMS data?
CMS-hosted NPPES data lists ALICIA FAYE JACOBS (PA-C) with NPI 1588407803.
Does CMS list ALICIA FAYE JACOBS (PA-C) as active?
Yes — ALICIA FAYE JACOBS (PA-C) is active in the NPI listing used on this page.
What is ALICIA FAYE JACOBS (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for ALICIA FAYE JACOBS (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect ALICIA FAYE JACOBS (PA-C) on a map?
Expect Spotsylvania, Virginia as a primary anchor for ALICIA FAYE JACOBS (PA-C) unless the record lists multiple sites.
Is the information about ALICIA FAYE JACOBS (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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