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

Q: 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.

Q: What is Nicole Jacobs's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Jacobs was last updated on August 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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.

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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)