Active NPI
Lori A Jacobs, FNP-C
- Family Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0028832
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11011969 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0028832 | OH | Primary |
| Family Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Toledo | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 199127 | OH | MD | Emergency Registered Nurse |
| 11011969 | FL | MD | Family Nurse Practitioner |
| 4704184898NSA2103P | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GRT Performance LLC | Current | Accepting new patients | |
| Promedica Central Physicians | Multi-Specialty | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| Southgate Urgent Care PC | Multi-Specialty | Current | Accepting new patients |
| Adrian Urgent Care PLLC | Multi-Specialty | Current | Accepting new patients |
| Woodland Urgent Care LLC | Multi-Specialty | Current | Accepting new patients |
| Mercy Health Urgent Care LLC | Multi-Specialty | Current | Accepting new patients |
| Warren Urgent Care PC | Multi-Specialty | Current | Accepting new patients |
| Promedica Central Physicians | Past | Accepting new patients | |
| Adrian Urgent Care PLLC | Past | Accepting new patients | |
| Southgate Urgent Care PC | Past | Accepting new patients | |
| West Toledo Urgent Care LLC | Multi-Specialty | Past | Accepting new patients |
| Warren Urgent Care PC | Past | 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
- lori.jacobs@554941067886596.direct.elationemr.com
- ljacobs104140@direct.bsmhealth.org
- 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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
Multi-Specialty, OH
-
- Family Medicine Physician
- Milford, OH
- NPI 1588390942
Multi-Specialty, OH
-
- Health Service Clinic/Center
- Toledo, OH
- NPI 1902790793
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Urgent Care Clinic/Center
- Toledo, OH
- NPI 1396273405
-
- Urgent Care Clinic/Center
- Adrian, MI
- NPI 1144611633
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.