1. Home
  2. Directory
  3. Louisiana
  4. River Ridge
  5. Pediatrics
  6. NPI Profile

DR. COURTNEY JACOBS M.D.
NPI 1558723429
Pediatrics - Pediatric Emergency Medicine in River Ridge, LA

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
864 S CLEARVIEW PKWY, APT 136, RIVER RIDGE, LA 70123(781) 696-2530 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2021, May 19, 2020, Mar 22, 2016 (3 updates tracked since 2016).

About Dr. Courtney Jacobs M.d. NPPES

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

DR. COURTNEY JACOBS M.D. (NPI 1558723429) is an individual pediatric emergency medicine provider in River Ridge, Louisiana, licensed in Virginia (0101267326) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558723429
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. COURTNEY JACOBSCredential: M.D.
Location Address864 S CLEARVIEW PKWY, APT 136River Ridge, LA 70123-6323
Mailing Address864 S Clearview Pkwy, Apt 136River Ridge, LA 70123-6323 · (781) 696-2530
Phone(781) 696-2530
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateMay 21, 20213 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1558723429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in VA · 0101267326
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 0101267326 (VA)
864 S CLEARVIEW PKWY, River Ridge, LA 70123
Open in Google Maps ↗

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

Dr. Courtney Jacobs M.d. 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.

PECOS PAC ID5395160220
PECOS Enrollment IDI20200810000502
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 Courtney Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Hospital Of The Kings Daughters Inc
932 mi
Clinical
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 108 clinicians in this Medicare group
NPI 1467641829 (757) 668-7017
Childrens Specialty Group PLLC
932 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Courtney Jacobs's NPI number?

The NPI number for Courtney Jacobs is 1558723429. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Courtney Jacobs located?

Courtney Jacobs practices at 864 S Clearview Pkwy Apt 136, River Ridge, LA 70123. The listed phone number is (781) 696-2530.

What is Courtney Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Courtney Jacobs enrolled in Medicare?

Yes. Courtney 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 Courtney Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Jacobs reassigns Medicare benefits to 2 organizations: Childrens Hospital Of The Kings Daughters Inc (Norfolk, VA) and Childrens Specialty Group PLLC (Norfolk, VA). 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 Courtney Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Jacobs was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.