MRS. EDWINA YVONNE JACOBS FNP
NPI 1063765451
Nurse Practitioner - Family in Bridge City, TX

Active since October 23, 2012PECOS EnrolledAccepts Medicare Assignment
615 W ROUND BUNCH RD, BRIDGE CITY, TX 77611(409) 735-7305(888) 972-9401 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Aug 11, 2022 (2 updates tracked since 2022).

About Mrs. Edwina Yvonne Jacobs Fnp NPPES

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

MRS. EDWINA YVONNE JACOBS FNP (NPI 1063765451) is an individual family provider in Bridge City, Texas, licensed in Texas (654339) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and maintains a secondary practice location in Beaumont.

NPPES Registry Identity

NPI1063765451
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. EDWINA YVONNE JACOBSCredential: FNP
Location Address615 W ROUND BUNCH RDBridge City, TX 77611-2434
Mailing Address615 W Round Bunch RdBridge City, TX 77611-2434 · (409) 735-7305 · Fax (888) 972-9401
Fax(888) 972-9401
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 23, 2012
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1063765451 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 TX · 654339
615 W ROUND BUNCH RD, Bridge City, TX 77611

Secondary Practice Location 1

Location 19632 Gaulding RdBeaumont, TX 77705-9450 · Phone (409) 679-4159 · Fax (888) 972-9401

Other Identifiers 3

OtherAP122669TX · Aprn
Other13293TX · Prescriptive Authorization
Other654339TX · Board Of Nursing Family Practice Nurse Practitioner License

Accepted Insurance

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

Mrs. Edwina Yvonne Jacobs Fnp 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 ID6204089170
PECOS Enrollment IDI20130102000208
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450518
Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77611 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 7

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

Family Medicine
615 W ROUND BUNCH RD
BRIDGE CITY, TX 77611
Family Medicine
615 W ROUND BUNCH RD
BRIDGE CITY, TX 77611
Nurse Practitioner (Family)
615 W ROUND BUNCH RD
BRIDGE CITY, TX 77611
Nurse Practitioner (Primary Care)
615 W ROUND BUNCH RD
BRIDGE CITY, TX 77611
Family Medicine
615 W ROUND BUNCH RD
BRIDGE CITY, TX 77611
Family Medicine
615 W ROUND BUNCH RD
BRIDGE CITY, TX 77611
Nurse Practitioner (Family)
615 W ROUND BUNCH RD
BRIDGE CITY, TX 77611

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 Edwina Jacobs's NPI number?

The NPI number for Edwina Jacobs is 1063765451. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Edwina Jacobs located?

Edwina Jacobs practices at 615 W Round Bunch Rd, Bridge City, TX 77611. The listed phone number is (409) 735-7305.

What is Edwina Jacobs's specialty?

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

Is Edwina Jacobs enrolled in Medicare?

Yes. Edwina 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.

What insurance does Edwina Jacobs accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Edwina 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 Edwina Jacobs affiliated with any hospitals?

According to CMS data, Edwina Jacobs is affiliated with Christus Southeast Texas- St Elizabeth and The Medical Center Of Southeast Texas.

When was this NPI record last updated?

The NPPES record for Edwina Jacobs was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.