MEDICARE: JACOB MCVAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1699608802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB MCVAY

Provider Business Mailing Address
First Line	:	1103 N SOLANO DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-2349
Country	:	US
Telephone Number	:	575-635-3814
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 N SOLANO DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-2349
Country	:	US
Telephone Number	:	575-635-3814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

Similar Medicare Providers

1699039297 — MICHAEL DOUGLAS SEFCIK DPM
Practice Location Address:

1135 N SOLANO DR
LAS CRUCES, NM
88001-2349

Practice Phone: 575-526-6103
Practice Fax: 575-526-6347

1043730799 — M DOUGLAS SEFCIK DPM LLC
Practice Location Address:

1135 N SOLANO DR
LAS CRUCES, NM
88001-2349

Practice Phone: 575-526-6103
Practice Fax: 575-526-6347

1164739017 — MS. ELLA GOSE-DAWKINS
Practice Location Address:

2349 RENAISSANCE DR , SUITE A
LAS VEGAS, NV
89119-6191

Practice Phone: 702-743-5908
Practice Fax: 702-597-2242

1043514524 — RAE JONETTE MELSON M.S. ED. S.
Practice Location Address:

2349 RENAISSANCE DR , SUITE A.
LAS VEGAS, NV
89119-6191

Practice Phone: 702-739-7716
Practice Fax: 702-597-2242

1598050635 — TIFFANY JENEE TOLBERT
Practice Location Address:

2349 RENAISSANCE DR STE A
LAS VEGAS, NV
89119-6191

Practice Phone: 702-739-7716
Practice Fax: 702-597-2242

1023304375 — JOHN G CASALE
Practice Location Address:

2349 RENAISSANCE DR STE A
LAS VEGAS, NV
89119-6191

Practice Phone: 702-739-7716
Practice Fax: 702-597-2242

Directions to “ JACOB MCVAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.