Pamela Rice Jacobs, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

36900 Issued in WV

Practice address

1623 13TH Ave
Huntington, WV 25701-3845

Phone

(304) 526-4551

Fax

(304) 522-9116

NPI assigned

Jun 28, 2005

Last updated

Feb 21, 2012By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
• St Marys Medical Center Hospital, Huntington, WV, CCN 510007
• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• University Physicians & Surgeons, Inc

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1730183286

  Family

  Medicare reassignment Care Compare group NPD
• Occumed, LLC

  • Urgent Care Clinic/Center
  • Huntington, WV
  • NPI 1639289937
  Medicare reassignment NPD
• University Physicians & Surgeons, Inc.

  • Health & Wellness Coach
  • Louisa, KY
  • NPI 1073256665
  NPD
• Liberty Circle Ear Nose & Throat Inc.

  • Otolaryngology Physician
  • Huntington, WV
  • NPI 1306892690
  NPD (past)
• Pain Care, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Huntington, WV
  • NPI 1730165424
  NPD (past)
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cabell Huntington Hospital Inc

  dba Cabell Huntington Hospital

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation
• St. Mary's Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1326044918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 13TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013845",
            "telephone_number": "304-526-4551",
            "fax_number": "304-922-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 13TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013845",
            "telephone_number": "304-526-4551",
            "fax_number": "304-522-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "PAMELA",
        "middle_name": "RICE",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "36900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102124000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2212260",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Jackson, RD,MA,LD
• Robert Ian Jackson, MD
• Tiffany Jeneen Jackson
• Donald Scott Jacobs, LMT
• Kathryn Goff Jacobs, RPH, MHA
• Sharmila Jai Kumar, MD
• Rajendra Kumar Jain, MD
• Rajiv K. Jain, DO
• Aisha Jamal, MD
• James R Butler DDS

• Family Nurse Practitioner in Huntington, WV
• Providers in Huntington, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.