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

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: October 25, 2026.

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
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

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

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Randi Jacobs reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1401 HARRODSBURG RD
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 250 clinicians in this Medicare group
Rural Health
1908 N MAIN ST, SUITE 120
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 68 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
279 E MAIN ST
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 38 clinicians in this Medicare group
Rural Health
103 KINGDOM COME DR
Cumberland, KY 40823
  • Reassigned Medicare billing, Kentucky enrollment
  • 31 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.

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 8

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

Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Physician Assistant (Surgical)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Physician Assistant (Surgical)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Advanced Practice Midwife
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509

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 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.

Where is Randi Jacobs located?

Randi Jacobs practices at 170 N Eagle Creek Dr Ste 104, Lexington, KY 40509. The listed phone number is (859) 967-5848.

What is Randi Jacobs's specialty?

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

Is Randi Jacobs enrolled in Medicare?

Yes. Randi 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 organizations bill Medicare for Randi Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randi Jacobs reassigns Medicare benefits to 4 organizations: Kentuckyone Health Medical Group, Inc. (Lexington, KY), Mountain After Hours Clinic Psc (Hazard, KY), Kentucky Mountain Health Alliance, Inc. (Hazard, KY) and Quantum Healthcare Associates Of Cumberland, Inc (Cumberland, KY). Each 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 Randi Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randi Jacobs accept?

Health plans from Anthem Blue Cross and Blue Shield list Randi 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.

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 21 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.