LUCAS JACOBSEN
NPI 1144030925
Nurse Practitioner - Psychiatric/Mental Health in Nashville, TN

Active since January 13, 2025PECOS Enrolled
461 21ST AVE S, NASHVILLE, TN 37240(615) 322-4400 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucas Jacobsen NPPES

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

LUCAS JACOBSEN (NPI 1144030925) is an individual psychiatric/mental health provider in Nashville, Tennessee, licensed in Tennessee (39796) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144030925
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLUCAS JACOBSEN
Location Address461 21ST AVE SNashville, TN 37240-1104
Mailing Address105 Via GaliciaSan Clemente, CA 92672-3827
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 13, 2025
Last NPPES UpdateApril 18, 2026
NPPES CertifiedApril 18, 2026
NPI 1144030925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in TN · 39796 Licensed in CA · 95038901
Also ListedRegistered NurseTaxonomy 163W00000X · License 281472 (TN)
461 21ST AVE S, Nashville, TN 37240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lucas Jacobsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375013089
PECOS Enrollment IDI20260522001898
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 37240 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Nurse Practitioner
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240

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 Lucas Jacobsen's NPI number?

The NPI number for Lucas Jacobsen is 1144030925. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Lucas Jacobsen located?

Lucas Jacobsen practices at 461 21st Ave S, Nashville, TN 37240. The listed phone number is (615) 322-4400.

What is Lucas Jacobsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lucas Jacobsen enrolled in Medicare?

Yes. Lucas Jacobsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lucas Jacobsen was last updated on April 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.