Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801312616 Individual Practitioner Female Practitioner

Denisa Despina Jacobs , RT (R)(CT), PA-C

Physician Assistant • Centerville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Denisa Jacobs, RT (R)(CT), PA-C is a certified Physician Assistant practicing in Centerville, OH. With approximately 9 years of clinical experience since completing medical education in 2017, Denisa Jacobs delivers high-quality medical care to the local community at 7700 WASHINGTON VILLAGE DR STE 120.

Denisa Jacobs is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7700 Washington Village Dr Ste 120

Centerville, OH 454594071

Telephone 9374254144
Fax 9374254146
Associated Practice Facility / Clinic
🏢 Dayton Osteopathic Hospital Facility NPI 1588630347

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Centerville, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
41 Specialists

Practicing in Centerville, OH (5376 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobs (9 Years) 9 Yrs
Centerville Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 28 $279.00 $103.29
99213 Established patient office or other outpatient visit, typically 15 minutes
15 14 $188.00 $72.90

Medical Specialties & State Licenses

CMS Verified: 2026-03-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.005271RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Radiologic Technologist - Radiography

NUCC Taxonomy Code: 2471C3402X

State License OH R8861923

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

Radiologic Technologist - Computed Tomography

NUCC Taxonomy Code: 2471C3401X

State License OH R8861923

A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nccpa
1132364

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

7700 Washington Village Dr, Centerville, OH 454594094

Phone: 9375310195

Secondary Practice Locations

540 Lincoln Park Blvd

Kettering, OH 454296401

Phone: 9372976306

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Shashank Sarvepalli , MD

Internal Medicine - Gastroenterology

NPI 1124445002

Doctor of Medicine (M.D.)

Christie Astor , CNP

Nurse Practitioner - Family

NPI 1154788867

Certified Nurse Practitioner

Evelyn Robbins , APRN-CNP

Nurse Practitioner - Family

NPI 1275354979

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Charles Oberer , MD

Internal Medicine - Gastroenterology

NPI 1477870178

Doctor of Medicine (M.D.)

Jeri Downey , FNP

Nurse Practitioner - Family

NPI 1528714888

Family Nurse Practitioner

Dr. Nazir Ahmed , MD

Internal Medicine

NPI 1568872224

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 05, 2026

Registered at 7700 WASHINGTON VILLAGE DR STE 120, CENTERVILLE, OH 454594071 (Tel: 9374254144)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2026

Physician Assistant (License #50.005271RX in OH)

📍
Updated Practice Location July 22, 2022

Registered at 425 W GRAND AVE STE 2002, DAYTON, OH 454054722 (Tel: 9374254144)

📍
Updated Business Mailing Address July 22, 2022

Registered at 1 PRESTIGE PL STE 550, MIAMISBURG, OH 453426115 (Tel: 9377621310)

NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2017

Registered at 540 LINCOLN PARK BLVD, KETTERING, OH 454296401 (Tel: 9372976306)

📍
Updated Business Mailing Address August 15, 2017

Registered at 2340 HUNTERGLEN CT, DAYTON, OH 454598401 (Tel: 9374161383)

👤
Provider Name / Credentials Updated August 15, 2017

Recorded as DENISA JACOBS, RT (R)(CT), PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Radiologic Technologist (License #R8861923 in OH)

🟢
Initial NPI Registration & Enumeration August 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801312616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2017
Last Update: March 05, 2026
Sole Proprietor: No

Mailing Address

1 Prestige Pl Ste 550

Miamisburg, OH 453426115

Phone: 9377621310

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.