Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Denisa Despina Jacobs, RTRCT, PA-C

Individual provider Physician Assistant · NPI 1801312616

Mrs. Denisa Despina Jacobs, RTRCT, PA-C is a Physician Assistant in Centerville, Ohio. Qualified in 2017, 9 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7700 Washington Village Dr Ste 120
Centerville, OH 45459-4071
Phone: (937) 425-4144
Fax: (937) 425-4146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 Lincoln Park Blvd, Kettering, OH 45429-6401 — (937) 297-6306

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005271RX (OH)
Radiography Radiologic Technologist Taxonomy 2471C3402X · Licence R8861923 (OH)
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X · Licence R8861923 (OH)

Record details

NPI number1801312616
Entity typeIndividual (Type 1)
GenderFemale
Credentials RTRCT , PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Centerville