Individual provider Active NPI

Lori Jacob, APRN

  • Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1265730311
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1083901 Issued in KY
Practice address
1024 N Main St
Nicholasville, KY 40356-2311
Phone
(859) 241-2148
Fax
(859) 241-2934
NPI assigned
Mar 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1083901 KY Primary

Addresses

Primary practice location

1024 N Main St
Nicholasville, KY 40356-2311

Mailing address

2700 Stanley Gault Pkwy
Suite 129
Louisville, KY 40223-5132
Phone (502) 253-4914

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ljacob7348@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110323000851 KY Practitioner - Nurse Practitioner 9234312505 Reassigns benefits to 2 organizations
I20210105001694 IN Practitioner - Nurse Practitioner 9234312505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

3084 Lakecrest Cir
Suite 100
Lexington, KY 40513-1972
Phone (859) 219-6440

800 Highlander Point Dr
Floyds Knobs, IN 47119-9465

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1083901KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jun 11, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 7, 2016 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients

Locations

60 S Stewart Rd
Corbin, KY 40701
Phone (606) 258-8888

96 Future Dr
Corbin, KY 40701

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2101 Nicholasville Rd
Ste 204
Lexington, KY 40503
Phone (859) 260-4330

3084 Lakecrest Cir
Ste 100
Lexington, KY 40513
Phone (859) 219-6440

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

610 E Brannon Rd
Ste 100
Nicholasville, KY 40356
Phone (859) 260-5540

Interoperability endpoints

  • Direct secure messaging: ljacob7348@bhkydirect.com

Organizations & group practices 4

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": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1265730311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY",
            "address_2": "SUITE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235132",
            "telephone_number": "502-253-4914",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N MAIN ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562311",
            "telephone_number": "859-241-2148",
            "fax_number": "859-241-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "LORI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1083901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljacob7348@bhkydirect.com",
            "affiliation": "N",
            "address_1": "610 E Brannon Rd Ste 100",
            "city": "Nicholasville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403566065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.