KASSIDY JACOBS NP-C
NPI 1740838853
Nurse Practitioner - Family in Raleigh, NC
About Kassidy Jacobs Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSIDY JACOBS NP-C (NPI 1740838853) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5012203) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted 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
Kassidy Jacobs Np-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kassidy Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27615
- Reassigned Medicare billing, North Carolina enrollment
- 290 clinicians in this Medicare group
Raleigh, NC 27615
- Reassigned Medicare billing, North Carolina enrollment
- 168 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kassidy Jacobs's NPI number?
The NPI number for Kassidy Jacobs is 1740838853. It was assigned to this individual provider in the NPPES registry on September 1, 2019. The provider is also known as Kassidy Fay Burr Np-C.
Where is Kassidy Jacobs located?
Kassidy Jacobs practices at 6840 Glenwood Ave, Raleigh, NC 27612. The listed phone number is (866) 389-2727.
What is Kassidy Jacobs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kassidy Jacobs enrolled in Medicare?
Yes. Kassidy 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 Kassidy Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kassidy Jacobs reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of North Carolina PC (Raleigh, NC) and Minuteclinic Primary Care North Carolina PLLC (Raleigh, NC). 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 Kassidy Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kassidy Jacobs accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Kassidy Jacobs 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.
When was this NPI record last updated?
The NPPES record for Kassidy Jacobs was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kassidy Jacobs, NP-C · NPI 1740838853
Family physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since September 1, 2019.
## Identity
- **NPI:** 1740838853 (Entity type: Individual)
- **Enumerated:** September 1, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5012203 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 6840 GLENWOOD AVE, Raleigh, NC 27612-7133
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic Of North Carolina PC (NPI 1699748608, Raleigh, NC); Minuteclinic Primary Care North Carolina PLLC (NPI 1356159818, Raleigh, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740838853) · Data from the CMS NPPES public registry.