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: July 19, 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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Marriage & Family Therapist
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA 95661
Internal Medicine (Hospice and Palliative Medicine)
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA 95661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356747687, enumerated as an "individual" on November 13, 2014.

The provider is located at 2140 PROFESSIONAL DR STE 210 ROSEVILLE, CA 95661 and the phone number is (916) 782-5511.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.