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

Active since January 22, 2026PECOS EnrolledAccepts Medicare Assignment
101 ORCHARD DR, NICHOLASVILLE, KY 40356(859) 881-4288(859) 881-4388 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Mar 18, 2026, Jan 22, 2026 (3 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 Nicholasville, 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 Address101 ORCHARD DRNicholasville, KY 40356-2690
Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100 · Fax (859) 655-6241
Fax(859) 881-4388
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 22, 2026
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 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
101 ORCHARD DR, Nicholasville, KY 40356

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 40356 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 17

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

Nurse Practitioner (Psychiatric/Mental Health)
101 ORCHARD DR
NICHOLASVILLE, KY 40356
Nurse Practitioner (Family)
101 ORCHARD DR
NICHOLASVILLE, KY 40356
Family Medicine
101 ORCHARD DR
NICHOLASVILLE, KY 40356
Nurse Practitioner (Psychiatric/Mental Health)
101 ORCHARD DR
NICHOLASVILLE, KY 40356
Nurse Practitioner
101 ORCHARD DR
NICHOLASVILLE, KY 40356
Nurse Practitioner (Family)
101 ORCHARD DR
NICHOLASVILLE, KY 40356
Nurse Practitioner
101 ORCHARD DR
NICHOLASVILLE, KY 40356
Nurse Practitioner (Family)
101 ORCHARD DR
NICHOLASVILLE, KY 40356

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 101 Orchard Dr, Nicholasville, KY 40356. The listed phone number is (859) 881-4288.

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 March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.