Charity Ann Jacobs, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

2019023336 Issued in MO

Practice address

1723 Broadway St Ste 315
Cape Girardeau, MO 63701-4556

Phone

(573) 519-4960

NPI assigned

Jun 13, 2012

Sex

Female

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 MO

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

Specialty

Orthopedic Surgery

Education

Geisel School of Medicine at Dartmouth, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians

Southeast Missouri Hospital Physicians LLCGroup PAC ID 9133024334, 206 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Missouri Home health agency, Poplar Bluff, MO, CCN 267151
• Elara Caring Home health agency, Dexter, MO, CCN 267589
• Centerwell Home Health Home health agency, Rolla, MO, CCN 267098
• Visiting Nurse Association of Southeast Missouri, Inc Home health agency, Kennett, MO, CCN 267050
• Americare Home Health Solutions Home health agency, Farmington, MO, CCN 267622
• Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
• Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
• Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
• Madison Medical Center Hospital, Fredericktown, MO, CCN 261302
• Lutheran Home, the Nursing home, Cape Girardeau, MO, CCN 265359

Merit-based Incentive Payment System (MIPS)

Final score

21.07 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

70.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Southeast Missouri Hospital Physicians, LLC

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1558311522
  Medicare reassignment Care Compare group NPD
• Health Facilities Rehab Services Inc

  • Rehabilitation Clinic/Center
  • Sikeston, MO
  • NPI 1720003551
  Care Compare group

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

• Amedisys Missouri, L.L.C.

  • Home Health Agency
  • Poplar Bluff, MO
  • NPI 1679745251
  Care Compare affiliation
• Inspire Home Health LLC

  • Home Health Agency
  • Farmington, MO
  • NPI 1891266573
  Care Compare affiliation
• Lutheran Home for the Aged

  • Skilled Nursing Facility
  • Cape Girardeau, MO
  • NPI 1376539320

  Nursing home

  Care Compare affiliation
• Madison Medical Center Stockhoff Memorial Nursing Home

  • Critical Access Hospital
  • Fredericktown, MO
  • NPI 1720163025
  Care Compare affiliation
• Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
  • NPI 1831269539
  Care Compare affiliation
• Missouri Home Care of Rolla, Inc.

  • Home Health Agency
  • Rolla, MO
  • NPI 1366495384
  Care Compare affiliation
• Southeast Health Center of Stoddard County, LLC

  • General Acute Care Hospital
  • Dexter, MO
  • NPI 1801990825
  Care Compare affiliation
• Southeast Hospital

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1811006661
  Care Compare affiliation
• Tri County Home Health, Inc.

  • Home Health Agency
  • Dexter, MO
  • NPI 1881641090
  Care Compare affiliation
• Visiting Nurse Association of Southeast Missouri, Inc.

  • Home Health Agency
  • Kennett, MO
  • NPI 1205828183
  Care Compare affiliation

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1962764183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY ST STE 315",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014556",
            "telephone_number": "573-519-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY ST STE 315",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014556",
            "telephone_number": "573-519-4960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC Department of Orthopaedics",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CHARITY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MO",
            "license": "2019023336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micha Jackson
• Nicole Pearl Jackson, PLPC
• Susan Marie Jackson, APRN, FNP-BC
• Cathryn Victoria Jaco
• Joseph Jacob
• Aunna James
• Brittany James, RN
• Clorinda L James
• James John James, PTA
• Kayla Rochelle Jamieson

• Adult Reconstructive Orthopaedic Surgery Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.