Shifa Jacob

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1822 N Main St Ste 104
Fall River, MA 02720-1350

Phone

(508) 955-7157

Fax

(508) 744-6631

NPI assigned

Jul 16, 2021

Last updated

Dec 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woonsocket Urgent Care PCGroup PAC ID 1951305168, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Woonsocket Urgent Care, PC

  dba Norwood Urgent Care and Primary Care Center

  • Internal Medicine Physician
  • East Walpole, MA
  • NPI 1881929586
  Medicare reassignment Care Compare group NPD
• Woonsocket Urgent Care, PC

  dba Bellingham Urgent Care

  • Urgent Care Clinic/Center
  • Bellingham, MA
  • NPI 1437628385
  Medicare reassignment
• Westwood Ear Nose & Throat PC

  • Otolaryngology Physician
  • Fall River, MA
  • NPI 1356555213
  NPD
• Woonsocket Urgent Care, PC

  dba Norwood Primary Care

  • Internal Medicine Physician
  • E Walpole, MA
  • NPI 1184461113
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1144892373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N MAIN ST STE 104",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201350",
            "telephone_number": "508-955-7157",
            "fax_number": "508-744-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N MAIN ST STE 104",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201350",
            "telephone_number": "508-955-7157",
            "fax_number": "508-744-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SHIFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Gagliarde P Ponte DDS (North Main Dental Associates)
• J.C.Corrigan Mental Health Center
• Kaye O. Jabren, CRNA
• Deborah Jackson, LICSW
• Shannon M Jacob
• Tracy Jacobson, MSPT
• Uma Kolli Jaladi, MD
• Mohsen Jalali Roudsari, M.D.
• Kevin James
• Jamie Jancarik Hofmann

• Medical Physician Assistant in Fall River, MA
• Providers in Fall River, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.