Aarcha Mary Jacob, APRN FNP

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

11010470 Issued in FL

Practice address

5460 Lena Rd Unit 101
Bradenton, FL 34211-9500

Phone

(941) 251-3584

Fax

(941) 254-7640

NPI assigned

Oct 26, 2020

Last updated

Dec 14, 2022By 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

Medicare fee-for-service enrollment

Enrolled in FL

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Care Gastroenterology AssociatesGroup PAC ID 2062712433, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Advanced Care Gastroenterology Associates

  • Gastroenterology Physician
  • Tampa, FL
  • NPI 1831565688
  Medicare reassignment Care Compare group NPD

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

• University Community Hospital, Inc

  dba AdventHealth Tampa

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa Outreach Laboratory

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1134766694

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1730788266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 LENA RD UNIT 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119500",
            "telephone_number": "941-251-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 LENA RD UNIT 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119500",
            "telephone_number": "941-251-3584",
            "fax_number": "941-254-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Tamiami Trl Ste 302",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392221",
            "country_code": "US",
            "telephone_number": "941-366-9711",
            "fax_number": "941-957-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "AARCHA",
        "middle_name": "MARY",
        "credential": "APRN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "11010470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jackson, PHARM.D.
• Tracy Leslie Jackson, D.M.D.
• Travis Jackson
• James Paul Jaco, M.ED.
• Jacob Joseph M.D., P.a. (Manatee Orthopaedic and Sports Medicine Clinic)
• Kimberly Lynn Jacobsen, MA LMHC
• Jacqueline C Ekstrom LCSW LLC
• Jason Alexandre Jaffe
• Jay Jaffe
• Erol Jahja, D.O.

• Allergy Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.