Individual provider Active NPI

Heather Joan Jacobs, FNP

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1235488446
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005747 Issued in NC
Practice address
815 Oakridge Blvd
Lumberton, NC 28358-2330
Phone
(910) 738-7166
Fax
(910) 738-3764
NPI assigned
Sep 4, 2012
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005747 NC Primary

Addresses

Primary practice location

815 Oakridge Blvd
Lumberton, NC 28358-2330

Mailing address

2600 N Elm St
Lumberton, NC 28358-3011
Phone (910) 670-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000263 NC Practitioner - Nurse Practitioner 0244489094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Urologists of North Carolina PAGroup PAC ID 9537341268, 29 clinicians

Practice addresses (Care Compare)

3821 Ed Dr
Raleigh, NC 27612-8038
Phone (919) 758-8677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC CurrentSince Aug 1, 2025 Accepting new patients
Associated Urologists of North Carolina PA CurrentSince Apr 19, 2021 Accepting new patients
Associated Urologists of North Carolina PA CurrentSince Apr 19, 2021 Accepting new patients
Alliance Physician Services, PC CurrentSince Aug 1, 2025 Accepting new patients
Alliance Physician Services, PC Past Accepting new patients

Locations

110 Kildaire Park Dr
Ste 500
Cary, NC 27518
Phone (919) 467-3203

3821 Ed Dr
Raleigh, NC 27612
Phone (919) 758-8677

Interoperability endpoints

  • Direct secure messaging: heather.jacobsnp.p1@direct.associatedurologists.nextgenshare.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1235488446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583011",
            "telephone_number": "910-670-5290",
            "fax_number": "910-738-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 OAKRIDGE BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582330",
            "telephone_number": "910-738-7166",
            "fax_number": "910-738-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "HEATHER",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.