Individual provider Active NPI

Dana Jacobs, CNM

  • Advanced Practice Midwife
  • Palm Springs, FL
National Provider Identifier
1831204452
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP3133732 Issued in FL
Practice address
4671 S Congress Ave Ste 100B
Palm Springs, FL 33461-4783
Phone
(561) 434-0111
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP3133732 FL
Advanced Practice Midwife 367A00000X ARNP3133732 FL Primary

Addresses

Primary practice location

4671 S Congress Ave Ste 100B
Palm Springs, FL 33461-4783

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

1447 Medical Park Blvd Ste 300
Wellington, FL 33414-3183
Phone (561) 790-5990

Other identifiers 2

IdentifierTypeStateIssuer
340344100MedicaidFL
LO389OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000749 FL Practitioner - Certified Nurse Midwife (CNM) 7416855978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

1500 N Dixie Hwy
Suite 104a
West Palm Beach, FL 33401-2712
Phone (561) 434-0111

2818 W Virginia Ave
Tampa, FL 33607-6330
Phone (813) 872-8551

4671 S Congress Ave
Suite 100B
Palm Springs, FL 33461-4783
Phone (561) 434-0111

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP3133732FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Advanced Practice Midwife CurrentSince Aug 19, 2019 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Aug 19, 2019 Accepting new patients

Locations

4270 Design Center Dr
Ste B
Palm Beach Gardens, FL 33410
Phone (561) 434-0111

4671 S Congress Ave
Ste 100B
Palm Springs, FL 33461
Phone (561) 434-0111

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

1500 N Dixie Hwy
Ste 104A
West Palm Beach, FL 33401
Phone (561) 434-0111

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1831204452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 S CONGRESS AVE STE 100B",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614783",
            "telephone_number": "561-434-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1447 Medical Park Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334143183",
            "country_code": "US",
            "telephone_number": "561-790-5990",
            "fax_number": "561-790-5952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DANA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP3133732",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP3133732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340344100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LO389",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.