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

Mary Amanda Jacobs, MD

Individual provider Dermatology Physician · NPI 1811973894

Mary Amanda Jacobs, MD is a Micrographic Dermatologic Surgery (Mds) in State College, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2003, 23 years ago. Practices with Dubois Dermatology and Cosmetics LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota and Pennsylvania.

Years since qualifying
23
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MN, PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 Scenery Dr
State College, PA 16801-5602
Phone: (814) 231-4560
Fax: (814) 231-6246
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence MD437386 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence 46763 (MN)

Record details

NPI number1811973894
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Dubois Dermatology And Cosmetics Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in State College