MRS. KELLY D JACOBS FNP
NPI 1447092630
Nurse Practitioner - Family in Lafayette, LA
About Mrs. Kelly D Jacobs Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY D JACOBS FNP (NPI 1447092630) is an individual family provider in Lafayette, Louisiana, licensed in Louisiana (234723) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Womans Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kelly D Jacobs Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Jacobs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lafayette, LA 70508
- Reassigned Medicare billing, Louisiana enrollment
Broussard, LA 70518
- Reassigned Medicare billing, Louisiana enrollment
- 2 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Louisiana enrollment
- 439 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Womans Hospital
Acute Care Hospitals · Baton Rouge, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70508 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
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 Kelly Jacobs's NPI number?
The NPI number for Kelly Jacobs is 1447092630. It was assigned to this individual provider in the NPPES registry on June 10, 2024.
Where is Kelly Jacobs located?
Kelly Jacobs practices at 1921 Kaliste Saloom Rd Ste 117, Lafayette, LA 70508. The listed phone number is (337) 210-5827.
What is Kelly Jacobs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Jacobs enrolled in Medicare?
Yes. Kelly Jacobs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelly Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Jacobs reassigns Medicare benefits to 3 organizations: Np Mom LLC (Lafayette, LA), Willow Total Health LLC (Broussard, LA) and Signify Health, LLC (Dallas, TX). 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 Kelly Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Jacobs accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana list Kelly 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.
Is Kelly Jacobs affiliated with any hospitals?
According to CMS data, Kelly Jacobs is affiliated with Womans Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Jacobs was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mrs. Kelly D Jacobs, FNP · NPI 1447092630
Family physician in Lafayette, Louisiana. Individual provider, active in the CMS NPPES registry since June 10, 2024.
## Identity
- **NPI:** 1447092630 (Entity type: Individual)
- **Enumerated:** June 10, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 234723 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1921 KALISTE SALOOM RD STE 117, Lafayette, LA 70508-6183
- **Phone:** (337) 210-5827
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Np Mom LLC (NPI 1467283184, Lafayette, LA); Willow Total Health LLC (NPI 1255131413, Broussard, LA); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1447092630) · Data from the CMS NPPES public registry.