SANDRA SUE JACOBS APRN
NPI 1366037160
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY
About Sandra Sue Jacobs Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA SUE JACOBS APRN (NPI 1366037160) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3015884) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra Sue Jacobs Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40241
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 Sandra Jacobs's NPI number?
The NPI number for Sandra Jacobs is 1366037160. It was assigned to this individual provider in the NPPES registry on March 3, 2021.
Where is Sandra Jacobs located?
Sandra Jacobs practices at 3801 Springhurst Blvd Ste 101, Louisville, KY 40241. The listed phone number is (502) 394-0101.
What is Sandra Jacobs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Sandra Jacobs enrolled in Medicare?
Yes. Sandra Jacobs is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sandra Jacobs was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Sandra Sue Jacobs, APRN · NPI 1366037160
Psychiatric/Mental Health physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since March 3, 2021.
## Identity
- **NPI:** 1366037160 (Entity type: Individual)
- **Enumerated:** March 3, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 3015884 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3801 SPRINGHURST BLVD STE 101, Louisville, KY 40241-6137
- **Phone:** (502) 394-0101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366037160) · Data from the CMS NPPES public registry.