Individual provider Active NPI

Gina Jacobson, APRN

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1245918028
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1147720 Issued in TX
Practice address
1000 Saint Luke Dr
Nashville, TN 37205-3588
Phone
(615) 390-6775
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33709 TN
Family Nurse Practitioner 363LF0000X 1147720 TX Primary

Addresses

Primary practice location

1000 Saint Luke Dr
Nashville, TN 37205-3588

Mailing address

1221 Division St Apt 510
Nashville, TN 37203-4444
Phone (859) 913-0850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33709TNMDFamily Nurse Practitioner
1147720TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 9 PA CurrentSince Jan 30, 2024 Accepting new patients
Aco Jason Martin Medical Consulting PastSince Aug 3, 2025 Accepting new patients

Locations

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

7514 Kingsley St
Houston, TX 77087
Phone (713) 644-8393

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1245918028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DIVISION ST APT 510",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034444",
            "telephone_number": "859-913-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT LUKE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053588",
            "telephone_number": "615-390-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "GINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33709",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1147720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.