Active NPI
Dana Jacobs, CNM
- Advanced Practice Midwife
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP3133732
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340344100 | Medicaid | FL | |
| LO389 | Other | FL | MEDICARE |
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3133732 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Care Florida LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Current | 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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Advanced Practice Midwife
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.