MICHAEL JACOBS IV FNP-BC
NPI 1710522313
Nurse Practitioner - Psychiatric/Mental Health in Fuquay Varina, NC

Active since November 07, 2019PECOS EnrolledAccepts Medicare Assignment
609 ATTAIN ST STE 101, FUQUAY VARINA, NC 27526(919) 567-0684 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Jacobs Iv Fnp-bc NPPES

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

MICHAEL JACOBS IV FNP-BC (NPI 1710522313) is an individual psychiatric/mental health provider in Fuquay Varina, North Carolina, licensed in North Carolina (5012389) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Durham, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710522313
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL JACOBS IVCredential: FNP-BC
Location Address609 ATTAIN ST STE 101Fuquay Varina, NC 27526-1984
Mailing Address2587 Ravenhill DrFayetteville, NC 28303-5451
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 7, 2019
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1710522313 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 NC · 5012389
609 ATTAIN ST STE 101, Fuquay Varina, NC 27526

Secondary Practice Location 1

Location 14905 Pine Cone DrDurham, NC 27707-5474 · Phone (919) 659-8686 · Fax (910) 483-2026

Accepted 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

Michael Jacobs Iv Fnp-bc 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 ID8628403920
PECOS Enrollment IDI20200114003435, I20240305002890
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
153 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27526 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
609 ATTAIN ST STE 101
FUQUAY VARINA, NC 27526
Psychiatry & Neurology (Psychiatry)
609 ATTAIN ST STE 101
FUQUAY VARINA, NC 27526
Social Worker (Clinical)
609 ATTAIN ST STE 101
FUQUAY VARINA, NC 27526
General Practice
609 ATTAIN ST STE 101
FUQUAY VARINA, NC 27526
Nurse Practitioner (Psychiatric/Mental Health)
609 ATTAIN ST STE 101
FUQUAY VARINA, NC 27526
Counselor (Mental Health)
609 ATTAIN ST STE 101
FUQUAY VARINA, NC 27526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710522313, enumerated as an "individual" on November 07, 2019.

The provider is located at 609 ATTAIN ST STE 101 FUQUAY VARINA, NC 27526 and the phone number is (919) 567-0684.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.