Individual provider Active NPI

Jency Jacob, NP-C

  • Adult Health Nurse Practitioner
  • Plainville, CT
National Provider Identifier
1336512813
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
006301 Issued in CT
Practice address
184 East St
Plainville, CT 06062-2913
Phone
(860) 224-6200
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 006301 CT Primary

Addresses

Primary practice location

184 East St
Plainville, CT 06062-2913

Mailing address

1487 Farmington Ave
Apt 21
Farmington, CT 06032-1047
Phone (347) 420-1754

Other practice location 1

5294 Belt Line Rd Ste 200
Dallas, TX 75254-7571
Phone (214) 785-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160302000944 CT Practitioner - Nurse Practitioner 4789980673 Reassigns benefits to 1 organization
I20210222000416 TX Practitioner - Nurse Practitioner 4789980673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
City University of New York School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Texas Medical Group PAGroup PAC ID 4587759113, 11 clinicians

Practice addresses (Care Compare)

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

8210 Walnut Hill LN
Suite 230
Dallas, TX 75231-4488
Phone (972) 284-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6301CTMDClinical Social Worker
006301CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catapult Health PA CurrentSince Dec 1, 2025 Accepting new patients
Starling Physicians, PLLC CurrentSince Feb 15, 2016 Accepting new patients
Aria Medical, PLLC CurrentSince Sep 10, 2025 Accepting new patients
Starling Physicians PLLC CurrentSince Feb 15, 2016 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Catapult Health, LLC PastSince Dec 1, 2025 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

184 East St
Plainville, CT 06062
Phone (860) 747-0730

5294 Belt Line Rd
Ste 200
Dallas, TX 75254
Phone (214) 785-2200

3951 Alma Rd
Ste 402
McKinney, TX 75070
Phone (469) 678-8204

2000 W Spring Creek Pkwy
Plano, TX 75023
Phone (972) 312-2012

Interoperability endpoints

  • Direct secure messaging: jency.jacob@hea.eclinicaldirectplus.com
  • Direct secure messaging: jjacob10803@direct.med.uchc.edu

Organizations & group practices 9

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1336512813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 FARMINGTON AVE",
            "address_2": "APT 21",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321047",
            "telephone_number": "347-420-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622913",
            "telephone_number": "860-224-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5294 Belt Line Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547571",
            "country_code": "US",
            "telephone_number": "214-785-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JENCY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "006301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.