Individual provider Active NPI

Lori A Jacobs, FNP-C

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1154890085
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028832 Issued in OH
Practice address
6040 Teletowne Dr
Toledo, OH 43612-4603
Phone
(855) 200-2478
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011969 FL
Family Nurse Practitioner 363LF0000X APRN.CNP.0028832 OH Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 4704184898NSA2103P MI
Emergency Registered Nurse 163WE0003X 199127 OH

Addresses

Primary practice location

6040 Teletowne Dr
Toledo, OH 43612-4603

Mailing address

5646 Kylie CT
Sylvania, OH 43560-9910
Phone (419) 466-0001

Other practice location 1

5646 Kylie Ct
Sylvania, OH 43560-9910
Phone (419) 466-0001

Other practice location 2

4405 N Holland Sylvania Rd
Toledo, OH 43623-3529
Phone (419) 517-0146

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Toledo Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210614002005 MI Practitioner - Nurse Practitioner 5092115022 Reassigns benefits to 3 organizations
I20210721002341 OH Practitioner - Nurse Practitioner 5092115022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

3430 Secor Rd
Suite 425
Toledo, OH 43606-1547
Phone (567) 585-0225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
199127OHMDEmergency Registered Nurse
11011969FLMDFamily Nurse Practitioner
4704184898NSA2103PMIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GRT Performance LLC CurrentSince Jun 8, 2025 Accepting new patients
Promedica Central Physicians Multi-Specialty CurrentSince Jun 4, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Jun 4, 2024 Accepting new patients
Southgate Urgent Care PC Multi-Specialty CurrentSince Feb 17, 2022 Accepting new patients
Adrian Urgent Care PLLC Multi-Specialty CurrentSince Feb 17, 2022 Accepting new patients
Woodland Urgent Care LLC Multi-Specialty CurrentSince Feb 17, 2022 Accepting new patients
Mercy Health Urgent Care LLC Multi-Specialty CurrentSince Dec 15, 2025 Accepting new patients
Warren Urgent Care PC Multi-Specialty CurrentSince Feb 17, 2022 Accepting new patients
Promedica Central Physicians PastSince Oct 16, 2022 Accepting new patients
Adrian Urgent Care PLLC PastSince Feb 17, 2022 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
West Toledo Urgent Care LLC Multi-Specialty Past Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

715 N Main St
Adrian, MI 49221
Phone (248) 957-7999

22341 W 8 Mile Rd
Detroit, MI 48219
Phone (313) 326-4989

34405 W 12 Mile Rd
Ste 205
Farmington Hills, MI 48331
Phone (248) 880-6225

14523 Northline Rd
Southgate, MI 48195
Phone (734) 324-7800

6601 Lewis Ave
Temperance, MI 48182
Phone (734) 206-2016

31700 Van Dyke Ave
Warren, MI 48093
Phone (586) 276-8130

L4372
Columbus, OH 43260

L4380
Columbus, OH 43260

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

6040 Teletowne Dr
Toledo, OH 43612
Phone (855) 200-2478

4405 N Holland Sylvania Rd
Ste 101
Toledo, OH 43623
Phone (419) 475-1600

3430 Secor Rd
Toledo, OH 43606
Phone (567) 585-0225

3430 Secor Rd
Ste 425
Toledo, OH 43606
Phone (567) 585-0225

2627 Tremainsville Rd
Toledo, OH 43613
Phone (419) 214-0790

Interoperability endpoints

  • Direct secure messaging: lori.jacobs@554941067886596.direct.elationemr.com
  • Direct secure messaging: ljacobs104140@direct.bsmhealth.org
  • Direct secure messaging: ljacobs318299@direct.promedica.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1154890085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 KYLIE CT",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609910",
            "telephone_number": "419-466-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 TELETOWNE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436124603",
            "telephone_number": "855-200-2478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5646 Kylie Ct",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435609910",
            "country_code": "US",
            "telephone_number": "419-466-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 N Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233529",
            "country_code": "US",
            "telephone_number": "419-517-0146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011969",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028832",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704184898NSA2103P",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "199127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Toledo",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4405 N Holland Sylvania Rd",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436233529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.