NPIMap

Individual provider Active NPI

Margaret Mary Jacobs, FNP-PA-C

  • Family Nurse Practitioner
  • Arnold, CA
National Provider Identifier
1699747808
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF 10304 Issued in CA
Practice address
2037 Hwy 4
Arnold, CA 95223
Phone
(209) 795-1270
NPI assigned
Feb 2, 2006
Last updated
Apr 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 493773 CA
Physician Assistant 363A00000X 14787 CA
Family Nurse Practitioner 363LF0000X NPF 10304 CA Primary

Addresses

Primary practice location

2037 Hwy 4
Arnold, CA 95223

Mailing address

PO Box 3308
2518 Aspen Way
Arnold, CA 95223-3308
Phone (209) 768-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116001464 CA Practitioner - Physician Assistant 6002830338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

2037 Hwy 4
Arnold, CA 95223-9420
Phone (209) 795-1270

23 N Main St
Suite 101
Angels Camp, CA 95222-8001
Phone (209) 736-9130

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14787CAMDPhysician Assistant
NPF 10304CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jan 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2024 Accepting new patients
Sonora Community Hospital CurrentSince Mar 1, 2020 Accepting new patients
Sonora Community Hospital CurrentSince Jun 15, 2020 Accepting new patients

Locations

23 N Main St
Angels Camp, CA 95222
Phone (209) 736-9130

14540 State Highway 108
Sonora, CA 95370
Phone (209) 532-3167

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1699747808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3308",
            "address_2": "2518 ASPEN WAY",
            "city": "ARNOLD",
            "state": "CA",
            "postal_code": "952233308",
            "telephone_number": "209-768-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 HWY 4",
            "city": "ARNOLD",
            "state": "CA",
            "postal_code": "95223",
            "telephone_number": "209-795-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "FNP-PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "493773",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "14787",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF 10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, CA

Sources for this page

Verify at the official NPI Registry.