DR. JACOB MICHAEL NANNEY MD
NPI 1508611310
Student in an Organized Health Care Education/Training Program in Owensboro, KY

Active since April 23, 2024PECOS Enrolled
811 E PARRISH AVE STE 102, OWENSBORO, KY 42303(270) 688-1228 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2025, Apr 24, 2024 (2 updates tracked since 2024).

About Dr. Jacob Michael Nanney Md NPPES

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

DR. JACOB MICHAEL NANNEY MD (NPI 1508611310) is an individual student in an organized health care education/training program in Owensboro, Kentucky and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508611310
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACOB MICHAEL NANNEYCredential: MD
Location Address811 E PARRISH AVE STE 102Owensboro, KY 42303-3258
Mailing Address2806 Glencrest DrOwensboro, KY 42303-4575 · (270) 222-2678 · Fax (270) 688-2078
Sole ProprietorYes
Enumeration DateApril 23, 2024
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1508611310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
811 E PARRISH AVE STE 102, Owensboro, KY 42303

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jacob Michael Nanney Md 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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
811 E PARRISH AVE STE 102
OWENSBORO, KY 42303
Student in an Organized Health Care Education/Training Program
811 E PARRISH AVE STE 102
OWENSBORO, KY 42303
Student in an Organized Health Care Education/Training Program
811 E PARRISH AVE STE 102
OWENSBORO, KY 42303
Family Medicine
811 E PARRISH AVE STE 102
OWENSBORO, KY 42303
Family Medicine
811 E PARRISH AVE STE 102
OWENSBORO, KY 42303
Dietitian, Registered
811 E PARRISH AVE STE 102
OWENSBORO, KY 42303
Family Medicine
811 E PARRISH AVE STE 102
OWENSBORO, KY 42303
Dietitian, Registered
811 E PARRISH AVE STE 102
OWENSBORO, KY 42303

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 Jacob Nanney's NPI number?

The NPI number for Jacob Nanney is 1508611310. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Jacob Nanney located?

Jacob Nanney practices at 811 E Parrish Ave Ste 102, Owensboro, KY 42303. The listed phone number is (270) 688-1228.

What is Jacob Nanney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Nanney enrolled in Medicare?

Yes. Jacob Nanney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Nanney was last updated on September 10, 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.