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NICOLE JACOBS FNP
NPI 1902534688
Nurse Practitioner - Family in Prescott, AZ

Active since August 10, 2022PECOS Enrolled
2100 CENTERPOINTE WEST DR, PRESCOTT, AZ 86301(928) 717-0788(928) 717-0748 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Jacobs Fnp NPPES

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

NICOLE JACOBS FNP (NPI 1902534688) is an individual family provider in Prescott, Arizona, licensed in Arizona (RNP248636) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902534688
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE JACOBSCredential: FNP
Location Address2100 CENTERPOINTE WEST DRPrescott, AZ 86301-8487
Mailing Address2100 Centerpointe West DrPrescott, AZ 86301-8487 · (928) 717-0788 · Fax (928) 717-0748
Phone(928) 717-0788
Fax(928) 717-0748
Sole ProprietorNo
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1902534688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · RNP248636
2100 CENTERPOINTE WEST DR, Prescott, AZ 86301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Jacobs Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nicole Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eric Baumann MD, PC
Same address
Pain Medicine
2100 CENTERPOINTE WEST DR
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1588620421 (928) 717-0788

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

LISA STADUM NP
Nurse Practitioner (Family)
2100 CENTERPOINTE WEST DR
PRESCOTT, AZ 86301
Yavapai County (928) 717-0788
DR. CHRISTOPHER AARON JOHNS M.D.
Physical Medicine & Rehabilitation
2100 CENTERPOINTE WEST DR
PRESCOTT, AZ 86301
Yavapai County (928) 717-0788
MARGIE ANACAYA MD
Physical Medicine & Rehabilitation
2100 CENTERPOINTE WEST DR
PRESCOTT, AZ 86301
Yavapai County (928) 717-0788
ERIC BAUMANN MD, PC
Physical Medicine & Rehabilitation (Pain Medicine)
2100 CENTERPOINTE WEST DR
PRESCOTT, AZ 86301
Yavapai County (928) 717-0788
ERIC BAUMANN MD
Physical Medicine & Rehabilitation (Pain Medicine)
2100 CENTERPOINTE WEST DR
PRESCOTT, AZ 86301
Yavapai County (928) 717-0788

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 Nicole Jacobs's NPI number?

The NPI number for Nicole Jacobs is 1902534688. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Nicole Jacobs located?

Nicole Jacobs practices at 2100 Centerpointe West Dr, Prescott, AZ 86301. The listed phone number is (928) 717-0788.

What is Nicole Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Jacobs enrolled in Medicare?

Yes. Nicole Jacobs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jacobs reassigns Medicare benefits to Eric Baumann MD, PC (Prescott, AZ). The 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 Nicole Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Jacobs accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Nicole 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 Nicole Jacobs was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.