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AUTUM RENEE JACOBS FNP-BC
NPI 1235954926
Nurse Practitioner - Family in Prescott, AZ

Active since November 19, 2024PECOS EnrolledAccepts Medicare Assignment
820 AINSWORTH DR STE A, PRESCOTT, AZ 86301(928) 771-5548(928) 771-5549 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 18, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About Autum Renee Jacobs Fnp-bc NPPES

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

AUTUM RENEE JACOBS FNP-BC (NPI 1235954926) is an individual family provider in Prescott, Arizona, licensed in Arizona (314886) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Prescott Valley, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235954926
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUTUM RENEE JACOBSCredential: FNP-BC
Location Address820 AINSWORTH DR STE APrescott, AZ 86301-1613
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (602) 406-4786 · Fax (916) 636-4358
Phone(928) 771-5548
Fax(928) 771-5549
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 19, 2024
Last NPPES UpdateSeptember 29, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1235954926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 314886
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 314886 (AZ)
820 AINSWORTH DR STE A, Prescott, AZ 86301
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Secondary Practice Location 1

Location 16648 N Viewpoint Dr Ste 5Prescott Valley, AZ 86315-4942 · Phone (928) 771-5548 · Fax (928) 458-2130

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc..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

Autum Renee Jacobs Fnp-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 ID8820524531
PECOS Enrollment IDI20241204004098
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 Reassignment

Medicare enrollment records show Autum Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yavapai Regional Medical Center Physician Care LLC
0.2 mi
Cardiovascular Disease
1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 138 clinicians in this Medicare group
NPI 1528394830 (928) 445-6025

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 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

FOREFRONT DERMATOLOGY, S.C.
Dermatology
820 AINSWORTH DR STE A
PRESCOTT, AZ 86301
Yavapai County (928) 777-5800

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 Autum Jacobs's NPI number?

The NPI number for Autum Jacobs is 1235954926. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Autum Jacobs located?

Autum Jacobs practices at 820 Ainsworth Dr Ste A, Prescott, AZ 86301. The listed phone number is (928) 771-5548.

What is Autum Jacobs's specialty?

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

Is Autum Jacobs enrolled in Medicare?

Yes. Autum 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 organization bills Medicare for Autum Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autum Jacobs reassigns Medicare benefits to Yavapai Regional Medical Center Physician Care LLC (Prescott, AZ). The 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 Autum Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autum Jacobs accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Autum 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 Autum Jacobs was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.