Carla Jacob
NPI 1497063010ActiveIndividual· Nurse Practitioner, Family· Baltimore, MD
Nurse Practitioner, Family with Mnr Industries, LLC and 1 other group, practicing in Baltimore, Maryland. 152 Medicare patients in 2024, $16,832 paid; nearly all of their 115 Part D prescriptions were generic (92%). Lists University of Maryland Medical Center as a hospital affiliation.
Overview
| NPI | 1497063010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 16, 2010 |
| Last updated in NPPES | Aug 24, 2023 |
| Certified by provider | Aug 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R248512 | MD |
| Registered Nurse, School | 163WS0200X | 542089 | NY |
| Nurse Practitioner, Family | 363LF0000X | 340624 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (MD); Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 152 |
|---|---|
| Services billed | 382 across 35 procedure codes |
| Paid by Medicare | $16,832 |
Part D prescriptions in 2024
| Prescriptions (claims) | 115 · 120 30-day fills |
|---|---|
| Patients | 83 |
| Total drug cost | $1,964 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Mnr Industries, LLCOwings Mills, MD · 139 clinicians
- University of Maryland Emergency Medicine Associates PABaltimore, MD · 57 clinicians
Hospital affiliation
- University of Maryland Medical CenterBaltimore, MD
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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