NATHAN JACOBS NP
NPI 1255009486
Nurse Practitioner in Edgewood, KY

Q: What is Nathan Jacobs's NPI number?

The NPI number for Nathan Jacobs is 1255009486. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Q: What is Nathan Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Jacobs was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 September 01, 2021PECOS Enrolled

1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-9010(859) 301-9018 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 15, 2024, Apr 9, 2024 (2 updates tracked since 2024).

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About Nathan Jacobs Np NPPES

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

NATHAN JACOBS NP (NPI 1255009486) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (3015130) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255009486

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameNATHAN JACOBSCredential: NP

Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403

Mailing AddressPo Box 636324Cincinnati, OH 45263-6324 · (859) 301-9010 · Fax (859) 301-9018

Phone(859) 301-9010

Fax(859) 301-9018

Sole ProprietorYes

Enumeration DateSeptember 1, 2021

Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration

NPPES CertifiedNovember 15, 2024

✔ NPI 1255009486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3015130

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.0035789 (OH), 3015130 (KY)

1 MEDICAL VILLAGE DR, Edgewood, KY 41017

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Jacobs Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Nathan Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Elizabeth Medical Center, Inc.

0.1 mi

Family Medicine

413 S LOOP RD
Edgewood, KY 41017

Reassigned Medicare billing, Kentucky enrollment
275 clinicians in this Medicare group

NPI 1710001185 (859) 301-3800

Mercy Health Physicians Cincinnati Specialty Care LLC

19 mi

Surgery

4600 MCAULEY PL STE 600
Blue Ash, OH 45242

Reassigned Medicare billing, Ohio enrollment
481 clinicians in this Medicare group

NPI 1154942795 (888) 696-3541

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 41017 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

CARA LINDSAY HANSEN CRNA

Nurse Anesthetist, Certified Registered