Individual provider Active NPI

Francine Jacobson

  • Community Health Clinic/Center
  • St. John, VI
National Provider Identifier
1174729149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
VI5138 Issued in VI
Practice address
Morris Decastro Clinic
Cruz Bay
St. John, VI 00830
Phone
(340) 693-8642
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X VI5138 VI Primary

Addresses

Primary practice location

Morris Decastro Clinic
Cruz Bay
St. John, VI 00830

Mailing address

PO Box 735
Cruz Bay
St John, VI 00831-0735
Phone (340) 693-8642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112001774 VI Practitioner - Certified Nurse Midwife (CNM) 8628392008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
59.24
Improvement activities
40
Cost
97.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
VI5138VIMDCommunity Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Red Hook Family Practice P.C. CurrentSince Nov 22, 2014 Accepting new patients

Locations

6500 Red Hook Plz
Ste 205
St Thomas, VI 00802
Phone (340) 775-2303

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBJEDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174729149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735",
            "address_2": "CRUZ BAY",
            "city": "ST JOHN",
            "state": "VI",
            "postal_code": "008310735",
            "telephone_number": "340-693-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MORRIS DECASTRO CLINIC",
            "address_2": "CRUZ BAY",
            "city": "ST. JOHN",
            "state": "VI",
            "postal_code": "00830",
            "telephone_number": "340-693-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "FRANCINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "VI",
            "license": "VI5138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. John, VI

Sources for this page

Verify at the official NPI Registry.