LAURI JACOBS RD,CDE
NPI 1033130414
Dietitian, Registered in Bangor, ME
About Lauri Jacobs Rd,cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURI JACOBS RD,CDE (NPI 1033130414) is an individual dietitian, registered in Bangor, Maine, licensed in Maine (DI1548) and active in the NPI registry since July 2006. She is affiliated with Northern Light Eastern Maine Medical Center and is a graduate of Tufts University School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lauri Jacobs Rd,cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lauri Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 788 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BANGOR, ME 04401
BANGOR, ME 04401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lauri Jacobs's NPI number?
The NPI number for Lauri Jacobs is 1033130414. It was assigned to this individual provider in the NPPES registry on July 21, 2006.
Where is Lauri Jacobs located?
Lauri Jacobs practices at 905 Union St Suite 11, Bangor, ME 04401. The listed phone number is (207) 973-7334.
What is Lauri Jacobs's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Lauri Jacobs enrolled in Medicare?
Yes. Lauri Jacobs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lauri Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauri Jacobs reassigns Medicare benefits to Eastern Maine Medical Center (Bangor, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauri Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lauri Jacobs accept?
Health plans from Anthem Blue Cross and Blue Shield list Lauri Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lauri Jacobs affiliated with any hospitals?
According to CMS data, Lauri Jacobs is affiliated with Northern Light Eastern Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Lauri Jacobs was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lauri Jacobs, RD,CDE · NPI 1033130414
Dietitian, Registered provider in Bangor, Maine. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1033130414 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DI1548 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 905 UNION ST, SUITE 11, Bangor, ME 04401-3050
- **Phone:** (207) 973-7334 · **Fax:** (207) 973-7424
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Eastern Maine Medical Center (NPI 1790789147, Bangor, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** October 20, 2017
- **Other identifiers:** Medicare ID-Type Unspecified MT1098 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1033130414) · Data from the CMS NPPES public registry.