Individual provider Active NPI

Katherine Jacobi, FNP-C

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1326833708
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016464A Issued in IN
Practice address
300 N Main St Ste D
Crown Point, IN 46307-3281
Phone
(219) 663-4888
Fax
(219) 663-4877
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 71016464A IN Primary

Addresses

Primary practice location

300 N Main St Ste D
Crown Point, IN 46307-3281

Mailing address

300 N Main St Ste D
Crown Point, IN 46307-3281
Phone (219) 663-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250423002907 IN Practitioner - Nurse Practitioner 7719402601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aceso Visiting Physicians and Geriatric Care Inc.Group PAC ID 9133344708, 17 clinicians

Practice addresses (Care Compare)

300 N Main St
Suite D
Crown Point, IN 46307-3281
Phone (219) 663-4888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71016464AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aceso Visiting Physicians and Geriatric Care Inc. CurrentSince Apr 14, 2025 Accepting new patients

Locations

300 N Main St
Ste D
Crown Point, IN 46307
Phone (219) 663-4877

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1326833708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4888",
            "fax_number": "219-663-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4888",
            "fax_number": "219-663-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "KATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016464A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.