JACQUELYN JANIS JACOBS AGACNP-BC
NPI 1114773397
Nurse Practitioner - Acute Care in Tallahassee, FL

Q: What is Jacquelyn Jacobs's NPI number?

The NPI number for Jacquelyn Jacobs is 1114773397. It was assigned to this individual provider in the NPPES registry on April 27, 2024.

Q: What is Jacquelyn Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Jacobs was last updated on January 28, 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 April 27, 2024PECOS EnrolledAccepts Medicare Assignment

1300 MEDICAL DR, TALLAHASSEE, FL 32308(850) 879-2628 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2024, Apr 27, 2024 (2 updates tracked since 2024).

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About Jacquelyn Janis Jacobs Agacnp-bc NPPES

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

JACQUELYN JANIS JACOBS AGACNP-BC (NPI 1114773397) is an individual acute care provider in Tallahassee, Florida, licensed in Florida (APRN11029832) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of University Of Florida College Of Medicine (2023).

NPPES Registry Identity

NPI1114773397

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJACQUELYN JANIS JACOBSCredential: AGACNP-BC

Location Address1300 MEDICAL DRTallahassee, FL 32308-4646

Mailing Address2500 State Road 44 Unit 12201New Smyrna Beach, FL 32168-8282 · (850) 879-2628

Phone(850) 879-2628

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2023

Enumeration DateApril 27, 2024

Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1114773397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · APRN11029832

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN11029832 (FL)

1300 MEDICAL DR, Tallahassee, FL 32308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, UnitedHealthcare.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

Jacquelyn Janis Jacobs Agacnp-bc 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 ID7810433794

PECOS Enrollment IDI20240727000098

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services25 patients

Hospital Affiliations CMS Care Compare

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100135

Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

CHELSEY LEE PARSONS MSN, APRN, FNP-C

Nurse Practitioner (Family)