John Jacobs, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

028495 Issued in NY

Practice address

100 John Roemmelt Dr Ste 101
Horseheads, NY 14845-8302

Phone

(607) 739-0352

Fax

(607) 739-6909

NPI assigned

May 31, 2022

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Arnot Medical Services PLLCGroup PAC ID 0840450748, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090

Merit-based Incentive Payment System (MIPS)

Final score

81.64 of 100Reported as group

Quality

55.31

Promoting interoperability

99

Improvement activities

40

Cost

76.8

Merit-based Incentive Payment System (MIPS)

Final score

90.63 of 100Reported as group

Quality

69.94

Promoting interoperability

100

Improvement activities

40

Cost

86.27

Merit-based Incentive Payment System (MIPS)

Final score

80.15 of 100Reported as group

Quality

46.76

Promoting interoperability

100

Improvement activities

40

Cost

77.08

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjacobs266709@direct.urmc.rochester.edu
• Direct secure messaging: john.jacobs@arn.eclinicaldirectplus.com

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.

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661
  Medicare reassignment Care Compare group NPD
• Arnot Medical Services PLLC

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1427326768
  Medicare reassignment Care Compare group
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD
• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Medicare reassignment
• University of Rochester Neurosurgery Group

  • Neurological Surgery Physician
  • Rochester, NY
  • NPI 1780783746
  Medicare reassignment
• Arnot Ogden Medical Center

  • Community/Retail Pharmacy
  • Elmira, NY
  • NPI 1831875004
  NPD

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

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661
  Care Compare affiliation

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1871232793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 670",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "607-301-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN ROEMMELT DR STE 101",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458302",
            "telephone_number": "607-739-0352",
            "fax_number": "607-739-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Canal St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Big Flats",
            "state": "NY",
            "postal_code": "148148968",
            "country_code": "US",
            "telephone_number": "607-301-4141",
            "fax_number": "607-301-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert T. Hovey, MSW
• William Guerry Howard, MD
• Tyler Whitney Humphries, PHARMD
• J Pain & Spine Care
• Gretchen Ann Jacobs
• John A Jacobs, RD
• Jalaluddin Medical PLLC
• Jan K. Liberatore (J. K. Liberatore Optical)
• Bryan Lee Jarvis, D.O.
• Jeffrey M Patterson

• Physician Assistant in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.