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MICHELLE LAVERNE JACOBS NP
NPI 1356747687
Nurse Practitioner - Family in Roseville, CA

Active since November 13, 2014PECOS Enrolled
2140 PROFESSIONAL DR STE 210, ROSEVILLE, CA 95661(916) 782-5511 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Laverne Jacobs Np NPPES

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

MICHELLE LAVERNE JACOBS NP (NPI 1356747687) is an individual family provider in Roseville, California, licensed in California (95000824) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356747687
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LAVERNE JACOBSCredential: NP
Location Address2140 PROFESSIONAL DR STE 210Roseville, CA 95661-3776
Mailing Address2140 Professional Dr Ste 210Roseville, CA 95661-3776 · (916) 612-3034
Phone(916) 782-5511
Sole ProprietorYes
Enumeration DateNovember 13, 2014
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1356747687 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 CA · 95000824
2140 PROFESSIONAL DR STE 210, Roseville, CA 95661
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Other Names 1

Former Name (1)Michelle Laverne Moore Np

Secondary Practice Locations 2

Location 11050 Benton StSanta Clara, CA 95050-4854 · Phone (916) 612-3034
Location 21801 Eureka Rd Apt 453Roseville, CA 95661-7772 · Phone (916) 612-3034

Other Identifiers 1

Other95000824CA · Nurse Practioner License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Laverne Jacobs Np 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 Reassignments

3

Medicare enrollment records show Michelle Jacobs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden Valley Health Center
64 mi
Federally Qualified Health Center (FQHC)
302 NORTHGATE DR
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1477020121 (209) 239-5299
Alexander Y Chan, MD Inc
88 mi
Family Medicine
825 DELBON AVE, EMANUEL MEDICAL CENTER
Turlock, CA 95382
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1831360809 (209) 603-1597
Minuteclinic Diagnostic Medical Group Of Orange County Inc
397 mi
Nurse Practitioner
14330 CULVER DR
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
NPI 1104013879 (866) 389-2727

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 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 2

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

GO GENTLY MEDICAL GROUP. INC
Internal Medicine (Hospice and Palliative Medicine)
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA 95661
Placer County (916) 970-1700
JULIA MERRIS-COOTS MS, LMFT
Marriage & Family Therapist
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA 95661
Placer County (916) 782-5511

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 Michelle Jacobs's NPI number?

The NPI number for Michelle Jacobs is 1356747687. It was assigned to this individual provider in the NPPES registry on November 13, 2014. The provider is also known as Michelle Laverne Moore Np.

Where is Michelle Jacobs located?

Michelle Jacobs practices at 2140 Professional Dr Ste 210, Roseville, CA 95661. The listed phone number is (916) 782-5511.

What is Michelle Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Jacobs enrolled in Medicare?

Yes. Michelle Jacobs is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Jacobs reassigns Medicare benefits to 3 organizations: Golden Valley Health Center (Manteca, CA), Alexander Y Chan, MD Inc (Turlock, CA) and Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA). Each 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 Michelle Jacobs'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 Michelle Jacobs was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.