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SANDRA SUE JACOBS APRN
NPI 1366037160
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since March 03, 2021PECOS Enrolled
3801 SPRINGHURST BLVD STE 101, LOUISVILLE, KY 40241(502) 394-0101 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1366037160
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANDRA SUE JACOBSCredential: APRN
Location Address3801 SPRINGHURST BLVD STE 101Louisville, KY 40241-6137
Mailing Address11613 Maple WayLouisville, KY 40229-2212 · (502) 214-0206
Phone(502) 394-0101
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 3, 2021
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1366037160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3015884
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
3801 SPRINGHURST BLVD STE 101, Louisville, KY 40241
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Sue Jacobs Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294143681
PECOS Enrollment IDI20210423001986
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

2

Medicare enrollment records show Sandra Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Behavioral Health Inc
Same address
Mental Health
3801 SPRINGHURST BLVD, STE 101
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1649208331 (502) 394-0101
Tbd Acquisition, LLC
6.0 mi
Psychiatric Hospital
1405 BROWNS LN
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1275953754 (502) 896-0495

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 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.

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

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

DR. GAYATRI SINGH LCSW, LMFT, APRN
Registered Nurse (Psychiatric/Mental Health)
3801 SPRINGHURST BLVD STE 101
LOUISVILLE, KY 40241
Jefferson County (502) 394-0101

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.

Which organizations bill Medicare for Sandra Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Jacobs reassigns Medicare benefits to 2 organizations: Access Behavioral Health Inc (Louisville, KY) and Tbd Acquisition, LLC (Louisville, KY). 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 Sandra Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Jacobs accept?

Health plans from Anthem Blue Cross and Blue Shield list Sandra Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 14 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.