LISA JACOBS PMHNP
NPI 1568554186
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME

Q: What is Lisa Jacobs's NPI number?

The NPI number for Lisa Jacobs is 1568554186. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Lisa Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jacobs was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

268 STILLWATER AVE, BANGOR, ME 04401(207) 973-7306(207) 973-6109 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lisa Jacobs Pmhnp NPPES

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

LISA JACOBS PMHNP (NPI 1568554186) is an individual psychiatric/mental health provider in Bangor, Maine, licensed in Maine (R038704) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Calais Community Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1568554186

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA JACOBSCredential: PMHNP

Location Address268 STILLWATER AVEBangor, ME 04401-3945

Mailing Address21823 E Sandy Hill LnSouth Bend, IN 46628-9518 · (574) 807-5145

Phone(207) 973-7306

Fax(207) 973-6109

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 29, 2006

Last NPPES UpdateSeptember 4, 2015

✔ NPI 1568554186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ME · R038704

268 STILLWATER AVE, Bangor, ME 04401

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Other Identifiers 2

Medicare ID-Type UnspecifiedNS8083

Medicare UPINP96433

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Lisa Jacobs Pmhnp 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 ID3870482672

PECOS Enrollment IDI20151002001914

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

Medicare enrollment records show Lisa Jacobs reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acadia Hospital Corp

Same address

Psychiatric Hospital

268 STILLWATER AVENUE
Bangor, ME 04401

Reassigned Medicare billing, Maine enrollment
348 clinicians in this Medicare group

NPI 1215940523 (207) 973-6470

Central Maine Medical Center

64 mi

Multi-Specialty

23 BOWDOIN ST
Manchester, ME 04351

Reassigned Medicare billing, Maine enrollment
920 clinicians in this Medicare group

NPI 1598411175 (207) 621-2500

Eastport Health Care, Inc.

87 mi

Federally Qualified Health Center (FQHC)

30 BOYNTON ST
Eastport, ME 04631

Reassigned Medicare billing, Maine enrollment
23 clinicians in this Medicare group

NPI 1093752917 (207) 853-6001

Rumford Hospital

90 mi

Critical Access

420 FRANKLIN ST
Rumford, ME 04276

Reassigned Medicare billing, Maine enrollment
544 clinicians in this Medicare group

NPI 1205991122 (207) 369-1000

Bridgton Hospital

110 mi

Critical Access

10 HOSPITAL DR
Bridgton, ME 04009

Reassigned Medicare billing, Maine enrollment
563 clinicians in this Medicare group

NPI 1154370153 (207) 795-5709

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Calais Community Hospital

Critical Access Hospitals · Calais, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201305

Location24 Hospital LaneCalais, ME 04619 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Depression Utilization of the PHQ-9 Tool

The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit

Patients 4MonthsOfEnd: 92% · 104 patients

Patients 4MonthsOfStart: 97% · 119 patients

97%119 patients

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%1,265 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%2,336 patients5/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

79%431 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

97%64 patients5/55-star benchmark: 96%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 98% · 305 patients

Patients tobacco: 36% · 86 patients

70%305 patients3/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%431 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

42%431 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

48%431 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. KAREN SINGH MD

Student in an Organized Health Care Education/Training Program