JACOB R NICHOLSON II
NPI 1407781073
Nurse Practitioner - Acute Care in Akron, OH

Q: What is Jacob Nicholson's NPI number?

The NPI number for Jacob Nicholson is 1407781073. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Q: What is Jacob Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Nicholson was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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 June 16, 2026PECOS Enrolled

75 ARCH ST STE 201, AKRON, OH 44304(330) 375-7055(234) 312-2301 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jacob R Nicholson Ii NPPES

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

JACOB R NICHOLSON II (NPI 1407781073) is an individual acute care provider in Akron, Ohio, licensed in Ohio (APRN.CNP.0042452) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407781073

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJACOB R NICHOLSON II

Location Address75 ARCH ST STE 201Akron, OH 44304-1431

Mailing Address75 Arch St Ste 201Akron, OH 44304-1431 · (330) 375-7055 · Fax (234) 312-2301

Phone(330) 375-7055

Fax(234) 312-2301

Sole ProprietorNo

Enumeration DateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1407781073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.0042452

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN.389822 (OH)

75 ARCH ST STE 201, Akron, OH 44304

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob R Nicholson Ii 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 44304 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Leave this field empty

Other Providers at the Same Location NPPES 12

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

ALEXANDER VENIZELOS MD

Psychiatry & Neurology (Neurology)