STACEY L JACOBS NP
NPI 1295161933
Nurse Practitioner in Jeffersonville, IN

Q: What is Stacey Jacobs's NPI number?

The NPI number for Stacey Jacobs is 1295161933. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Q: What is Stacey 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 Stacey Jacobs was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 25, 2013PECOS EnrolledAccepts Medicare Assignment

1319 DUNCAN AVE, JEFFERSONVILLE, IN 47130(812) 283-2308(812) 283-2832 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, Aug 22, 2022 (2 updates tracked since 2022).

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About Stacey L Jacobs Np NPPES

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

STACEY L JACOBS NP (NPI 1295161933) is an individual nurse practitioner in Jeffersonville, Indiana, licensed in Indiana (71004631B) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1295161933

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY L JACOBSCredential: NP

Location Address1319 DUNCAN AVEJeffersonville, IN 47130-3759

Mailing Address1319 Duncan Ave, Family Health Center Clark CountyJeffersonville, IN 47130-3759 · (812) 283-2308 · Fax (812) 283-2832

Phone(812) 283-2308

Fax(812) 283-2832

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 25, 2013

Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2022

✔ NPI 1295161933 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 IN · 71004631B

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 ListedFamily MedicineTaxonomy 207Q00000X · License 3010254 (KY)

1319 DUNCAN AVE, Jeffersonville, IN 47130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Stacey L Jacobs Np 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 ID2860621364

PECOS Enrollment IDI20161021002057

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150009

Location1220 Missouri AveJeffersonville, IN 47130 · Clark County

Emergency services Birthing friendly

Harrison County Hospital

Critical Access Hospitals · Corydon, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number151331

Location1141 Hospital Dr NWCorydon, IN 47112 · Harrison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47130 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 6

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

CAITLIN SCHEEL YOST

Physician Assistant