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KATHLENE JACOBY APRN
NPI 1255804795
Nurse Practitioner - Family in Dayton, OH

Active since January 08, 2019PECOS Enrolled
7700 WASHINGTON VILLAGE DR STE 230, DAYTON, OH 45459(937) 438-3132 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 8, 2019, Jan 8, 2019 (2 updates tracked since 2019).

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

NPI1255804795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLENE JACOBYCredential: APRN
Location Address7700 WASHINGTON VILLAGE DR STE 230Dayton, OH 45459-4094
Mailing Address8720 Stonecreek CirCenterville, OH 45458-3219 · (937) 825-9825
Phone(937) 438-3132
Sole ProprietorNo
Enumeration DateJanuary 8, 2019
Last NPPES UpdateFebruary 8, 20192 updates tracked since enumeration
✔ NPI 1255804795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.024199
7700 WASHINGTON VILLAGE DR STE 230, Dayton, OH 45459
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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)

Kathlene Jacoby Aprn 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 Reassignment

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

Nephrology Associates Of Dayton Inc
Same address
Nephrology
7700 WASHINGTON VILLAGE DR, SUITE 230
Dayton, OH 45459
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
NPI 1184698458 (937) 438-3132

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 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

SWE ZIN MAR WINHTUT OO M.D.
Internal Medicine (Nephrology)
7700 WASHINGTON VILLAGE DR STE 230
DAYTON, OH 45459
Montgomery County (937) 438-0099
NICHOLAS WADE SALUPO DO
Internal Medicine (Nephrology)
7700 WASHINGTON VILLAGE DR STE 230
CENTERVILLE, OH 45459
Montgomery County (937) 438-3132
SARAH LYNN THOMA ANP
Nurse Practitioner (Adult Health)
7700 WASHINGTON VILLAGE DR STE 230
DAYTON, OH 45459
Montgomery County (937) 438-3132

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.

Which organization bills Medicare for Kathlene Jacoby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathlene Jacoby reassigns Medicare benefits to Nephrology Associates Of Dayton Inc (Dayton, OH). 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 Kathlene Jacoby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.