Susan Biji Jacob, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

70896 Issued in OK

Practice address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Phone

(405) 422-8800

NPI assigned

Jan 18, 2013

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 OK

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oakwood Springs Physician Group LLCGroup PAC ID 1658658026, 16 clinicians

Oklahoma Mental Health CouncilGroup PAC ID 3173514387, 69 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.37 of 100Reported as group

Quality

54.6

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Oakwood Springs Physician Group LLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1326588807
  Medicare reassignment Care Compare group NPD
• Oklahoma Mental Health Council

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1275574907
  Medicare reassignment Care Compare group NPD
• Optimum Post Acute Care PLLC

  • Hospitalist Physician
  • Edmond, OK
  • NPI 1225774227
  Medicare reassignment NPD
• Optimum Primary Care PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1760030399
  Medicare reassignment NPD
• Psychplus

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1215516950
  Medicare reassignment NPD
• Oklahoma Mental Health Council

  • Community/Behavioral Health Agency
  • Hobart, OK
  • NPI 1801219340
  NPD
• Optimum Pac PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1568352714
  NPD
• Oakwood Springs, LLC

  • Psychiatric Hospital
  • Oklahoma City, OK
  • NPI 1770932410
  NPD (past)

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1801134390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W DELAWARE AVE",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740482601",
            "telephone_number": "918-273-1841",
            "fax_number": "918-273-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731055104",
            "telephone_number": "405-422-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SUSAN",
        "middle_name": "BIJI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "70896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layah Jacob
• Lirin Jacob, M.D.
• Lisha Susan Jacob, DO
• Nancy S Jacob, MSW
• Paul Brian Jacob, D.O.
• Jacobs Counseling Group LLC
• Bobby Reed Jacobs, MD
• Christina Jacobs, MD
• Elon Jacobs, PHARM.D
• Heaven Lee Jacobs, OTA

• Adult Health Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.