Stacy Jacob
- MIPS score, 2024
- 93
- Hospital affiliations
- 1
- Medical groups
- 2
- State licenses
- 2
- Year NPI issued
- 2017
- Practice address
- 475 Seaview Ave, Staten Island, NY 10305
- Practice phone
- Call (718) 226-4502
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Staten Island University Hospital - North Campus
Staten Island, New York
Find Stacy Jacob's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Stacy Jacob is a physician assistant in Staten Island, New York
Stacy Jacob practices at Staten Island University Hospital - North Campus in Staten Island, New York.
Stacy Jacob's NPI, 1104333178, was assigned on December 29, 2017. Stacy Jacob holds New Jersey license 25MP00995000.
- NPI
- 1104333178NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4587038021
- NPI enumeration date
- December 29, 2017
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (718) 226-4502
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 30
- Medical school graduation
- 2022
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Stacy Jacob practices at Staten Island University Hospital - North Campus in Staten Island, New York
Stacy Jacob's primary practice is Staten Island University Hospital - North Campus, at 475 Seaview Ave, Staten Island, NY 10305 in Richmond County. The practice phone is (718) 226-4502.
- Staten Island University Hospital - North Campus475 Seaview Ave, Staten Island, NY 10305 · Richmond CountyPhone(718) 226-4502
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Stacy Jacob is affiliated with 2 sites of care and 2 medical groups
Stacy Jacob's primary practice is Staten Island University Hospital - North Campus in Staten Island, New York. Stacy Jacob is also affiliated with Staten Island University Hospital. The medical group on file is Northwell Health Physician Partners Cardiology at Great Neck. Dmand AI also links Stacy Jacob to 1 more medical group, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Stacy Jacob's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Stacy Jacob practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Staten Island University Hospital - North Campus | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Stacy Jacob is one of 11,456 physician assistants in New York
Physician assistant is Stacy Jacob's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Dmand AI has Stacy Jacob's licenses on file in 2 states: New Jersey and New York.
Specialties and state licenses
- Physician assistant, New JerseyPrimary
- Licensed practical nurse, New York
Physician assistants near Stacy Jacob
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Stacy Jacob's patients have a median age of 71
Across all payers, Dmand AI patient panel data puts Stacy Jacob's median patient age at 71, with 42% women.
Stacy Jacob's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 71
Patient panel by sex, all payers
- Women42%
- Men33%
Source: Dmand AI Patient Panel Data
Stacy Jacob scored 93 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 93 out of 100 for Stacy Jacob for performance year 2024, reported through an alternative payment model (APM). Stacy Jacob accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Stacy Jacob's MIPS scores, performance year 2024
- 93of 100Final score
- 79.8of 100Quality
- 89of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
Sources for Stacy Jacob's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Stacy Jacob
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Stacy Jacob's NPI number?
Stacy Jacob's NPI number is 1104333178. It was assigned on December 29, 2017, and it is active in the NPI Registry.
What does Stacy Jacob specialize in?
Stacy Jacob is a physician assistant in Staten Island, New York. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Stacy Jacob practice?
Stacy Jacob practices at 475 Seaview Ave, Staten Island, NY 10305. Stacy Jacob's primary practice is Staten Island University Hospital - North Campus in Staten Island, New York. Dmand AI also links Stacy Jacob to 1 medical group.
What is Stacy Jacob's office phone number?
The practice phone on file for Stacy Jacob is (718) 226-4502.
What is Stacy Jacob's medical license number?
Stacy Jacob holds New Jersey license 25MP00995000, one of the licenses on file in 2 states.
Which states has Stacy Jacob been licensed in?
Dmand AI has state licenses on file for Stacy Jacob in New Jersey and New York.
Which hospitals is Stacy Jacob affiliated with?
Stacy Jacob is affiliated with Staten Island University Hospital.
What medical group is Stacy Jacob part of?
Stacy Jacob is linked to Northwell Health Physician Partners Cardiology at Great Neck. Dmand AI links Stacy Jacob to 1 more medical group.
Does Stacy Jacob accept Medicare?
Yes. CMS lists Stacy Jacob as accepting Medicare assignment.
What is Stacy Jacob's MIPS score?
Stacy Jacob's MIPS final score for performance year 2024 is 93 out of 100, reported through an alternative payment model (APM).
How long has Stacy Jacob been practicing?
Stacy Jacob graduated from medical school in 2022, 4 years ago.
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