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KELLI A. JACOB NP
NPI 1679809933
Nurse Practitioner in Bossier City, LA

Active since October 21, 2009PECOS EnrolledAccepts Medicare Assignment
80.02/100
CMS Quality Rating
2300 HOSPITAL DR, SUITE 360, BOSSIER CITY, LA 71111(318) 212-7902(318) 212-7905 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli A. Jacob Np NPPES

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

KELLI A. JACOB NP (NPI 1679809933) is an individual nurse practitioner in Bossier City, Louisiana, licensed in Louisiana (AP05911) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Springhill Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1679809933
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLI A. JACOBCredential: NP
Location Address2300 HOSPITAL DR, SUITE 360Bossier City, LA 71111-2394
Mailing Address2300 Hospital Dr, Suite 360Bossier City, LA 71111-2394 · (318) 212-7902 · Fax (318) 212-7905
Phone(318) 212-7902
Fax(318) 212-7905
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 21, 2009
Last NPPES UpdateOctober 27, 2009
✔ NPI 1679809933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in LA · AP05911
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2300 HOSPITAL DR, Bossier City, LA 71111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelli A. Jacob Np 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 ID7214073071
PECOS Enrollment IDI20091008000039
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
344 services316 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
38 services38 patients
Magnesium level 83735
A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
36 services36 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
35 services35 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
28 services28 patients
Total protein level, urine 84156
The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Springhill Medical Center

Acute Care Hospitals · Springhill, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190088
Location2001 Doctors DriveSpringhill, LA 71075 · Webster County
Emergency services

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Desoto Regional Health System

Acute Care Hospitals · Mansfield, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190118
Location207 Jefferson StreetMansfield, LA 71052 · De Soto County
Emergency services

Sabine Medical Center

Acute Care Hospitals · Many, LA
OwnershipProprietary
CMS Certification Number190218
Location240 Highland DriveMany, LA 71449 · Sabine County
Emergency services

North Caddo Medical Center

Critical Access Hospitals · Vivian, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191304
Location815 South Pine StreetVivian, LA 71082 · Caddo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71111 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

80.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.03
Promoting Interoperability100
Improvement Activities40
Cost40.12

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.

ALLEN L. COX MD
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
ALLEN COX MD AND WILLIS-KNIGHTON MEDICAL CENTER
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
ZAFFATER EYE CENTER, LLC
Ophthalmology
2300 HOSPITAL DR, SUITE 300
BOSSIER CITY, LA 71111
Bossier Parish (318) 747-5838
DANIEL L. PAYNE MD
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
LESLIE JEAN SEWELL MD
Internal Medicine
2300 HOSPITAL DR, SUITE 320
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7848
CORTNEY L YOUNG FNP
Nurse Practitioner (Family)
2300 HOSPITAL DR, SUITE 330
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7848
SANJAY KUMAR SHAH MD & WILLIS-KNIGHTON MEDICAL CENTER INC.
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
TOM RODSUWAN MD AND WILLIS KNIGHTON MEDICAL CENTER
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830

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 Kelli Jacob's NPI number?

The NPI number for Kelli Jacob is 1679809933. It was assigned to this individual provider in the NPPES registry on October 21, 2009.

Where is Kelli Jacob located?

Kelli Jacob practices at 2300 Hospital Dr Suite 360, Bossier City, LA 71111. The listed phone number is (318) 212-7902.

What is Kelli Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelli Jacob enrolled in Medicare?

Yes. Kelli Jacob 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.

What insurance does Kelli Jacob accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Kelli Jacob 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 Kelli Jacob affiliated with any hospitals?

According to CMS data, Kelli Jacob is affiliated with Springhill Medical Center, Willis Knighton Medical Center, Desoto Regional Health System, Sabine Medical Center and North Caddo Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Jacob was last updated on October 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.