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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JACOB ELISHA RAY BLEVINS PMHNP
NPI 1275482333
Nurse Practitioner - Psychiatric/Mental Health in Richmond, KY

Active since January 22, 2026PECOS EnrolledAccepts Medicare Assignment
789 EASTERN BYP STE 23, RICHMOND, KY 40475(859) 544-8171(859) 544-8197 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Mar 24, 2026, Mar 18, 2026 and 1 more (4 updates tracked since 2026).

About Mr. Jacob Elisha Ray Blevins Pmhnp NPPES

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

MR. JACOB ELISHA RAY BLEVINS PMHNP (NPI 1275482333) is an individual psychiatric/mental health provider in Richmond, Kentucky, licensed in Kentucky (4052853) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1275482333
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JACOB ELISHA RAY BLEVINSCredential: PMHNP
Location Address789 EASTERN BYP STE 23Richmond, KY 40475-2421
Mailing Address789 Eastern Byp Ste 23Richmond, KY 40475-2421 · (859) 544-8171 · Fax (859) 544-8197
Phone(859) 544-8171
Fax(859) 544-8197
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 22, 2026
Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1275482333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4052853
789 EASTERN BYP STE 23, Richmond, KY 40475
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacob Elisha Ray Blevins Pmhnp 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 ID4183199318
PECOS Enrollment IDI20260406002827
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 40475 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 7

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

LAUREN CARGILL DO
Psychiatry & Neurology (Psychiatry)
789 EASTERN BYP STE 23
RICHMOND, KY 40475
Madison County (859) 544-8171
MEGAN NIKOLE HILL
Counselor (Mental Health)
789 EASTERN BYP STE 23
RICHMOND, KY 40475
Madison County (859) 544-8171
ZACHARY PALMER
Social Worker (Clinical)
789 EASTERN BYP STE 23
RICHMOND, KY 40475
Madison County (859) 544-8171
DR. KRISTINE BAULA M.D.
Psychiatry & Neurology (Psychiatry)
789 EASTERN BYP STE 23
RICHMOND, KY 40475
Madison County (859) 544-8171
KATELYN ARVIN LPCC
Social Worker (Clinical)
789 EASTERN BYP STE 23
RICHMOND, KY 40475
Madison County (859) 544-8171
CATHERINE JOY MESSINGER APRN
Nurse Practitioner
789 EASTERN BYP STE 23
RICHMOND, KY 40475
Madison County (859) 544-8171
BRIANNA SOCHA LPCC
Counselor (Professional)
789 EASTERN BYP STE 23
RICHMOND, KY 40475
Madison County (859) 544-8171

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 Jacob Blevins's NPI number?

The NPI number for Jacob Blevins is 1275482333. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Where is Jacob Blevins located?

Jacob Blevins practices at 789 Eastern Byp Ste 23, Richmond, KY 40475. The listed phone number is (859) 544-8171.

What is Jacob Blevins's specialty?

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

Is Jacob Blevins enrolled in Medicare?

Yes. Jacob Blevins 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.

When was this NPI record last updated?

The NPPES record for Jacob Blevins was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.