Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Jacob

Individual provider Family Nurse Practitioner · NPI 1356458889

Kimberly Jacob is a Nurse Practitioner in Greensburg, Pennsylvania. Qualified in 1997, 29 years ago. Practices with Excela Health Physician Practices, Inc, a 473-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Licensed in
PA
In the registry since
2006
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Practice location Address checks out

1275 S Main Street SUITE103
Greensburg, PA 15601
Phone: (412) 561-7246
Fax: (412) 235-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence VP004352B (PA)

Record details

NPI number1356458889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 29, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Excela Health Physician Practices, Inc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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