ABBY JEAN JACOBS NP
NPI 1043515414
Nurse Practitioner in Clovis, CA

Q: What is Abby Jacobs's NPI number?

The NPI number for Abby Jacobs is 1043515414. It was assigned to this individual provider in the NPPES registry on January 17, 2011. The provider is also known as Miss Abby Jean Van Den Broeke Nnp-Bc.

Q: What is Abby Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Abby Jacobs was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since January 17, 2011PECOS Enrolled

2755 HERNDON AVE, CLOVIS, CA 93611(559) 603-7300 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2025, Dec 3, 2019, Jul 1, 2016 (3 updates tracked since 2016).

On this page

About Abby Jean Jacobs Np NPPES

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

ABBY JEAN JACOBS NP (NPI 1043515414) is an individual nurse practitioner in Clovis, California, licensed in California (20482) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043515414

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameABBY JEAN JACOBSCredential: NP

Location Address2755 HERNDON AVEClovis, CA 93611-6800

Mailing AddressPo Box 889442Los Angeles, CA 90088-9442 · (559) 603-7372

Phone(559) 603-7300

Sole ProprietorNo

Enumeration DateJanuary 17, 2011

Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1043515414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 20482

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2755 HERNDON AVE, Clovis, CA 93611

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Other Names 1

Former Name (1)Miss Abby Jean Van Den Broeke Nnp-bc

Secondary Practice Locations 2

Location 12823 Fresno St, Fourth Floor NICUFresno, CA 93721-1324 · Phone (559) 459-3961

Location 2725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abby Jean Jacobs Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Abby Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Partners

6.8 mi

Multi-Specialty

7257 N FRESNO ST
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
604 clinicians in this Medicare group

NPI 1952912420 (559) 324-4952

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93611 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

DR. AMANDA ALYSE KEY PHARMD

Pharmacist

2755 HERNDON AVE
CLOVIS, CA 93611

Fresno County (559) 324-4000

MRS. NILOOFAR R NAVAIE CRNA

Nurse Anesthetist, Certified Registered

2755 HERNDON AVE
CLOVIS, CA 93611

Fresno County (559) 324-4000

DENIZ BAYSAL MD INC

General Acute Care Hospital

2755 HERNDON AVE
CLOVIS, CA 93611

Fresno County (559) 324-4000

JANE MARGUERITE JOHNSON FNP

Nurse Practitioner (Family)

2755 HERNDON AVE, CLOVIS COMMUNITY MEDICAL CENTER
CLOVIS, CA 93611

Fresno County (559) 638-2252

TYLER FALLERT

Pharmacist

2755 HERNDON AVE
CLOVIS, CA 93611

Fresno County (559) 310-4621

EDWIN YAMOAH

Anesthesiology

2755 HERNDON AVE
CLOVIS, CA 93611

Fresno County (559) 324-4000

EMILEE COOK SLP

Speech-Language Pathologist

2755 HERNDON AVE
CLOVIS, CA 93611

Fresno County (801) 830-9897

KAMPFE PHYSICIAN ASSISTANT, INC.

Physician Assistant (Surgical)

2755 HERNDON AVE
CLOVIS, CA 93611

Fresno County (559) 304-1700

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 Abby Jacobs's NPI number?

The NPI number for Abby Jacobs is 1043515414. It was assigned to this individual provider in the NPPES registry on January 17, 2011. The provider is also known as Miss Abby Jean Van Den Broeke Nnp-Bc.

Where is Abby Jacobs located?

Abby Jacobs practices at 2755 Herndon Ave, Clovis, CA 93611. The listed phone number is (559) 603-7300.

What is Abby Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Abby Jacobs enrolled in Medicare?

Yes. Abby Jacobs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abby Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abby Jacobs reassigns Medicare benefits to Community Health Partners (Fresno, CA). 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 Abby Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Abby Jacobs was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.