Active NPI
Courtney Nicole Jacobs, APRN
- Family Nurse Practitioner
- Centerville, OH
National Provider Identifier
1255976205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10191032
- Practice address
- 2350 Miami Valley Dr Ste 500
Centerville, OH 45459-4780 - Phone
- (937) 293-1622
- Fax
- (937) 245-6308
- NPI assigned
- Nov 14, 2019
- 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 | F10191032 | OH | Primary |
Addresses
Primary practice location
2350 Miami Valley Dr Ste 500
Centerville, OH 45459-4780
Mailing address
6680 Poe Ave Ste 200
Dayton, OH 45414-2855
Phone (937) 280-8400
Other practice location 1
9000 N Main St Ste 200
Englewood, OH 45415-1165
Phone (937) 293-1622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0392622 | Medicaid | OH |
Other names 1
- Courtney Ashburn
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@dpn.oncoemrdirect.com | ||
| Direct Messaging Address | cashburn1003141@direct.premierhealth.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 Janney LN
Springboro, OH 45066-8524
6680 Poe Ave
Suite 200
Dayton, OH 45414-2528
Hospital & facility affiliations
- Miami Valley Hospital
- Upper Valley Medical Center
- Atrium Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10191032 | OH | MD | Family Nurse Practitioner |
Interoperability endpoints
- admin@dpn.oncoemrdirect.com
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1255976205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6680 POE AVE STE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454142855",
"telephone_number": "937-280-8400",
"fax_number": "937-280-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MIAMI VALLEY DR STE 500",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594780",
"telephone_number": "937-293-1622",
"fax_number": "937-245-6308"
}
],
"practiceLocations": [
{
"address_1": "9000 N Main St Ste 200",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "OH",
"postal_code": "454151165",
"country_code": "US",
"telephone_number": "937-293-1622",
"fax_number": "937-245-6308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS",
"first_name": "COURTNEY",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "F10191032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0392622",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@dpn.oncoemrdirect.com",
"affiliation": "N",
"address_1": "2350 Miami Valley Dr Ste 500",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454594780",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cashburn1003141@direct.premierhealth.com",
"affiliation": "N",
"address_1": "2350 Miami Valley Dr Ste 500",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454594780",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "ASHBURN",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.