ELIZABETH LYNDA JACOBS FNP-C
NPI 1083351498
Nurse Practitioner - Family in Salt Lake City, UT
About Elizabeth Lynda Jacobs Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH LYNDA JACOBS FNP-C (NPI 1083351498) is an individual family provider in Salt Lake City, Utah, licensed in Utah (11780315-4405) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Elizabeth Lynda Jacobs Fnp-c 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.
Medicare Billing Reassignments
4Medicare enrollment records show Elizabeth Jacobs reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84105
- Reassigned Medicare billing, Utah enrollment
- 1,729 clinicians in this Medicare group
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 2 clinicians in this Medicare group
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 14 clinicians in this Medicare group
Asheville, NC 28804
- Reassigned Medicare billing, Utah enrollment
- 3 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Intermountain Medical Center
Acute Care Hospitals · Murray, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Elizabeth Jacobs's NPI number?
The NPI number for Elizabeth Jacobs is 1083351498. It was assigned to this individual provider in the NPPES registry on May 17, 2022.
Where is Elizabeth Jacobs located?
Elizabeth Jacobs practices at 2319 S Hannibal St, Salt Lake City, UT 84106. The listed phone number is (208) 914-4446.
What is Elizabeth Jacobs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Jacobs enrolled in Medicare?
Yes. Elizabeth 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 Elizabeth Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jacobs reassigns Medicare benefits to 4 organizations: Ihc Health Services Inc (Salt Lake City, UT), Daniel R Cottam MD PC (Salt Lake City, UT), Instamobile Care LLC (South Jordan, UT) and Mayrx (Asheville, NC). 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 Elizabeth Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Jacobs accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Elizabeth 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 Elizabeth Jacobs affiliated with any hospitals?
According to CMS data, Elizabeth Jacobs is affiliated with Intermountain Medical Center.
When was this NPI record last updated?
The NPPES record for Elizabeth Jacobs was last updated on June 18, 2024. 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.
# Elizabeth Lynda Jacobs, FNP-C · NPI 1083351498
Family physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since May 17, 2022.
## Identity
- **NPI:** 1083351498 (Entity type: Individual)
- **Enumerated:** May 17, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11780315-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2319 S HANNIBAL ST, Salt Lake City, UT 84106-4105
- **Phone:** (208) 914-4446
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1477680221, Salt Lake City, UT); Daniel R Cottam MD PC (NPI 1871030742, Salt Lake City, UT); Instamobile Care LLC (NPI 1407633639, South Jordan, UT); Mayrx (NPI 1255039897, Asheville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083351498) · Data from the CMS NPPES public registry.