KATHLENE JACOBY APRN
NPI 1255804795
Nurse Practitioner - Family in Dayton, OH
About Kathlene Jacoby Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLENE JACOBY APRN (NPI 1255804795) is an individual family provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.024199) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathlene Jacoby Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTON, OH 45459
CENTERVILLE, OH 45459
DAYTON, OH 45459
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 Kathlene Jacoby's NPI number?
The NPI number for Kathlene Jacoby is 1255804795. It was assigned to this individual provider in the NPPES registry on January 8, 2019.
Where is Kathlene Jacoby located?
Kathlene Jacoby practices at 7700 Washington Village Dr Ste 230, Dayton, OH 45459. The listed phone number is (937) 438-3132.
What is Kathlene Jacoby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathlene Jacoby enrolled in Medicare?
Yes. Kathlene Jacoby is registered in the Medicare PECOS enrollment system.
What insurance does Kathlene Jacoby accept?
Health plans from CareSource and Molina Healthcare list Kathlene Jacoby 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 Kathlene Jacoby was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kathlene Jacoby, APRN · NPI 1255804795
Family physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since January 8, 2019.
## Identity
- **NPI:** 1255804795 (Entity type: Individual)
- **Enumerated:** January 8, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.024199 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7700 WASHINGTON VILLAGE DR STE 230, Dayton, OH 45459-4094
- **Phone:** (937) 438-3132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255804795) · Data from the CMS NPPES public registry.