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JONATHAN DAN JACOBS APRN
NPI 1033992755
Nurse Practitioner - Psychiatric/Mental Health in Roanoke, VA

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment
611 MCDOWELL AVE NW, ROANOKE, VA 24016(540) 266-9200 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Aug 16, 2023 (2 updates tracked since 2023).

About Jonathan Dan Jacobs Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN DAN JACOBS APRN (NPI 1033992755) is an individual psychiatric/mental health provider in Roanoke, Virginia, licensed in Kansas (53-82245-101) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033992755
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJONATHAN DAN JACOBSCredential: APRN
Location Address611 MCDOWELL AVE NWRoanoke, VA 24016-1225
Mailing Address1867 Mount Tabor RdBlacksburg, VA 24060-8609 · (801) 979-8737
Phone(540) 266-9200
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2023
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1033992755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in KS · 53-82245-101✔ Licensed in MO · 2023015551
611 MCDOWELL AVE NW, Roanoke, VA 24016
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Dan Jacobs Aprn 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.

PECOS PAC ID6406384072
PECOS Enrollment IDI20250109002784
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THOMAS HENRY MAGRI LPC
Counselor (Professional)
611 MCDOWELL AVE NW
ROANOKE, VA 24016
Roanoke City (540) 857-9611
MS. GAY CAROL MOFFIT LPC
Counselor (Professional)
611 MCDOWELL AVE NW
ROANOKE, VA 24016
Roanoke City (540) 343-2425
BRANDON SAUNDERS HAIRSTON LPC
Counselor (Professional)
611 MCDOWELL AVE NW
ROANOKE, VA 24016
Roanoke City (540) 266-9200
LAUREN RECKLING LPC, CSAC
Counselor (Professional)
611 MCDOWELL AVE NW
ROANOKE, VA 24016
Roanoke City (540) 266-9200
DIANA ANDERSON
Registered Nurse (Psychiatric/Mental Health, Adult)
611 MCDOWELL AVE NW
ROANOKE, VA 24016
Roanoke City (540) 344-1723
ALLISON WAUGH TAYLOR LPC
Counselor
611 MCDOWELL AVE NW
ROANOKE, VA 24016
Roanoke City (540) 266-9200
MARY CATHERINE REIDY LPC
Counselor (Mental Health)
611 MCDOWELL AVE NW
ROANOKE, VA 24016
Roanoke City (540) 981-9351
ASHLEY LEA DAIGNEAULT LCSW
Social Worker (Clinical)
611 MCDOWELL AVE NW
ROANOKE, VA 24016
Roanoke City (540) 266-9200

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 Jonathan Jacobs's NPI number?

The NPI number for Jonathan Jacobs is 1033992755. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Jonathan Jacobs located?

Jonathan Jacobs practices at 611 Mcdowell Ave NW, Roanoke, VA 24016. The listed phone number is (540) 266-9200.

What is Jonathan Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Jacobs enrolled in Medicare?

Yes. Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Jacobs was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.