Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LORI JEAN JACOBS APNP
NPI 1386664613
Nurse Practitioner in De Pere, WI

Q: What is Lori Jacobs's NPI number?

The NPI number for Lori Jacobs is 1386664613. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Lori Jean Reynen.

Q: What is Lori 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 Lori Jacobs was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 July 20, 2006PECOS Enrolled

2366 OAK RIDGE CIR, DE PERE, WI 54115(920) 338-1111(920) 339-5506 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Nov 8, 2021 (2 updates tracked since 2021).

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About Lori Jean Jacobs Apnp NPPES

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

LORI JEAN JACOBS APNP (NPI 1386664613) is an individual nurse practitioner in De Pere, Wisconsin, licensed in Wisconsin (2857) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1386664613

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLORI JEAN JACOBSCredential: APNP

Location Address2366 OAK RIDGE CIRDe Pere, WI 54115-9207

Mailing AddressW12518 Fabian LnCrivitz, WI 54114-7740

Phone(920) 338-1111

Fax(920) 339-5506

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 20, 2006

Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1386664613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 2857

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.

2366 OAK RIDGE CIR, De Pere, WI 54115

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Other Names 1

Former Name (1)Lori Jean Reynen

Secondary Practice Locations 2

Location 1835 S Van Buren StGreen Bay, WI 54301-3526 · Phone (920) 496-4700 · Fax (920) 496-4705

Location 2744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 433-7550 · Fax (920) 433-7559

Other Identifiers 1

Other2006000655American Nurses Credentialing Center

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Jean Jacobs Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264435312

PECOS Enrollment IDI20060810000487

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 54115 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard A6443

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims785 services$0.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DARELYNN MARIE LOUSCHER APNP

Nurse Practitioner