Individual provider Active NPI

Marcia Jacobs, M.A.

  • Audiologist
  • Bowie, MD
National Provider Identifier
1306140199
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00676 Issued in MD
Practice address
6915 Laurel Bowie Rd Ste 304
Bowie, MD 20715
Phone
(301) 633-0906
NPI assigned
Jan 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 00676 MD
Audiologist 231H00000X 00676 MD Primary

Addresses

Primary practice location

6915 Laurel Bowie Rd Ste 304
Bowie, MD 20715

Mailing address

6915 Laurel Bowie Rd Ste 304
Bowie, MD 20715-1725

Other practice location 1

3062 Waldorf Market Pl
Waldorf, MD 20603-4871
Phone (410) 535-0024

Other practice location 2

22738 Maple Rd Ste 109
Lexington Park, MD 20653-3377
Phone (410) 535-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110503000212 DC Practitioner - Qualified Audiologist 9436334661 Reassigns benefits to 1 organization
I20150305000454 MD Practitioner - Qualified Audiologist 9436334661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacobs Audiology LLCGroup PAC ID 4688851298, 3 clinicians

Practice addresses (Care Compare)

22738 Maple Rd
Suite 109
Lexington Park, MD 20653-3347
Phone (301) 860-1124

6915 Laurel Bowie Rd
Suite 304
Bowie, MD 20715-1725
Phone (301) 860-1124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00676MDMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobs Audiology LLC Audiologist CurrentSince Feb 9, 2011 Accepting new patients
Jacobs Audiology LLC CurrentSince Nov 1, 2014 Accepting new patients

Locations

6915 Laurel Bowie Rd
Ste 304
Bowie, MD 20715
Phone (301) 633-0906

22738 Maple Rd
Ste 109
Lexington Pk, MD 20653
Phone (301) 860-1124

131 Main St
Ste 202
Prnc Frederck, MD 20678
Phone (410) 535-0024

3062 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 782-2220

Organizations & group practices 2

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": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1306140199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD STE 304",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD STE 304",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "301-633-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3062 Waldorf Market Pl",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034871",
            "country_code": "US",
            "telephone_number": "410-535-0024",
            "fax_number": "240-237-8573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22738 Maple Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lexington Park",
            "state": "MD",
            "postal_code": "206533377",
            "country_code": "US",
            "telephone_number": "410-535-0024",
            "fax_number": "240-237-8573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MARCIA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "00676",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.