Individual provider Active NPI

Scott E Jacobs, MD

  • Obstetrics & Gynecology Physician
  • Reno, NV
National Provider Identifier
1780647875
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7789 Issued in NV
Practice address
901 E 2ND St
Ste 307
Reno, NV 89502-1178
Phone
(775) 982-5000
Fax
(775) 982-3901
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7789 NV Primary

Addresses

Primary practice location

901 E 2ND St
Ste 307
Reno, NV 89502-1178

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

901 E 2nd St
Ste 307
Reno, NV 89502-1178
Phone (775) 982-3900

Other practice location 2

975 Ryland St Ste 105
Reno, NV 89502-1668
Phone (775) 982-5640

Other identifiers 2

IdentifierTypeStateIssuer
1780647875MedicaidNV
11040710OtherCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090908000114 NV Practitioner - Obstetrics/Gynecology 4284789793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Renown Transitional Care ServicesGroup PAC ID 4688642176, 10 clinicians

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

975 Ryland St
Suite 105
Reno, NV 89502-1668
Phone (775) 982-5640

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Transitional Care Services Obstetrics & Gynecology CurrentSince Sep 3, 2023 Accepting new patients
Community Care Services LLC CurrentSince Jan 1, 2015 Accepting new patients
Community Care Services LLC CurrentSince Jan 1, 2015 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC Obstetrics & Gynecology Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

850 Harvard Way
Reno, NV 89502

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#14
Reno, NV 89502

901 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 982-5640

975 Ryland St
Ste 105
Reno, NV 89502
Phone (775) 982-5640

75 Pringle Way
Ste 801
Reno, NV 89502
Phone (702) 688-5850

901 E 2nd St
Ste 307
Reno, NV 89502
Phone (775) 982-3900

Interoperability endpoints

  • Direct secure messaging: sjacobs683@direct.renown.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1780647875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 2ND ST",
            "address_2": "STE 307",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021178",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E 2nd St",
            "address_2": "Ste 307",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021178",
            "country_code": "US",
            "telephone_number": "775-982-3900",
            "fax_number": "775-982-6571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Ryland St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021668",
            "country_code": "US",
            "telephone_number": "775-982-5640",
            "fax_number": "775-982-5641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "7789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780647875",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11040710",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.