RANDI JACOBS APRN
NPI 1063127967
Nurse Practitioner - Family in Lexington, KY

Q: What is Randi Jacobs's NPI number?

The NPI number for Randi Jacobs is 1063127967. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Q: What is Randi Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Randi Jacobs was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 16, 2023PECOS EnrolledAccepts Medicare Assignment

170 N EAGLE CREEK DR STE 104, LEXINGTON, KY 40509(859) 967-5848(859) 967-5473 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Randi Jacobs Aprn NPPES

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

RANDI JACOBS APRN (NPI 1063127967) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3018860) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hazard, and is a graduate of Lincoln Memorial University Medical Department (2022).

NPPES Registry Identity

NPI1063127967

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRANDI JACOBSCredential: APRN

Location Address170 N EAGLE CREEK DR STE 104Lexington, KY 40509-9087

Mailing AddressPo Box 936London, KY 40743-0936 · (859) 967-5748 · Fax (859) 967-5473

Phone(859) 967-5848

Fax(859) 967-5473

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2022

Enumeration DateJanuary 16, 2023

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1063127967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3018860

170 N EAGLE CREEK DR STE 104, Lexington, KY 40509

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Secondary Practice Location 1

Location 1210 Black Gold Blvd Ste 106Hazard, KY 41701-2620 · Phone (606) 436-0711 · Fax (606) 436-0848

Other Identifiers 1

Medicaid7100874920KY

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

Randi 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 ID5597137828

PECOS Enrollment IDI20230214001035

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 40509 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER LEE ARVIN PA-C

Physician Assistant (Surgical)