Active NPI
Heather Joan Jacobs, FNP
- Family Nurse Practitioner
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005747
- Practice address
- 815 Oakridge Blvd
Lumberton, NC 28358-2330 - Phone
- (910) 738-7166
- Fax
- (910) 738-3764
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- The Centers for Advanced Urology LLPAssociated Urologists of North Carolina PA
Practice addresses (Care Compare)
3821 Ed Dr
Raleigh, NC 27612-8038
Phone (919) 758-8677
Hospital & facility affiliations
- Rex Hospital
- Wakemed, Cary Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.05 of 100
- Promoting interoperability
- 93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005747 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Urologists of North Carolina PA | Current | Accepting new patients | |
| Associated Urologists of North Carolina PA | Current | Accepting new patients | |
| Alliance Physician Services, PC | Current | Accepting new patients | |
| Alliance Physician Services, PC | Current | 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
- heather.jacobsnp.p1@direct.associatedurologists.nextgenshare.com
Organizations & group practices 10
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.
-
- Urology Physician
- Wake Forest, NC
- NPI 1316811888
-
- Urology Physician
- Paoli, PA
- NPI 1952829350
-
- Urology Physician
- Cary, NC
- NPI 1023982584
-
- Urology Physician
- Clayton, NC
- NPI 1043184518
-
- Urology Physician
- Cary, NC
- NPI 1205700762
-
- Urology Physician
- Dunn, NC
- NPI 1306710868
-
- Urology Physician
- Bryn Mawr, PA
- NPI 1407347396
-
- Urology Physician
- Dunn, NC
- NPI 1376824607
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.