Jessica Payne Jacobs, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15984 Issued in NH

Practice address

580 St. Johnsbury Rd.
Littleton, NH 03561

Phone

(603) 444-7070

Fax

(203) 438-6456

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, VI, VT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Androscoggin Valley Hospital Inc

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644

  Family Medicine, NH

  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593

  Family Medicine, NH

  Medicare reassignment NPD
• Littleton Hospital Association

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702

  NH

  Medicare reassignment NPD
• Northeastern Vermont Regional Hospital, Inc

  • Primary Care Clinic/Center
  • St Johnsbury, VT
  • NPI 1487732301

  VT

  Medicare reassignment NPD
• VI Government Hospital and Health Facilities Corp

  • General Acute Care Hospital
  • St Thomas, VI
  • NPI 1487699047

  VI

  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Berlin, NH
  • NPI 1134266679
  NPD
• Littleton Hospital Association

  • Durable Medical Equipment & Medical Supplies
  • Littleton, NH
  • NPI 1174398846
  NPD
• Weeks Medical Center

  • Clinic/Center
  • Whitefield, NH
  • NPI 1508819566
  NPD
• Northeastern Vermont Regional Hospital Inc.

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635
  NPD
• Northeastern Vermont Regional Hospital, Inc

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1275576704
  NPD (past)
• Northeastern Vermont Regional Hospital, Inc.

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1326080268
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1164580726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "PATIENT FINANCIAL SERVICES",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-259-7627",
            "fax_number": "603-259-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ST. JOHNSBURY RD.",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-444-7070",
            "fax_number": "203-438-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JESSICA",
        "middle_name": "PAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "244327",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "RT1380",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "15984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linne Marie Humbargar, PA-C
• Nicholas Hunt
• Amanda Rudy Huyler, M.S.
• Porsha Isbell, MA
• Cynthia Jean Jackson, WAIVER
• Je Purdy Co LLC
• Jerome Terres, M.D.
• Gina Johnson
• Joni M. Gray
• Kenneth Jordan

• All providers in Littleton, NH
• Pediatrics Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.