Sandra Sue Jacobs, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Louisville, KY
NPI 1366037160 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1366037160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3015884 (KY)
- Practice address
- 3801 Springhurst Blvd Ste 101
Louisville, KY 40241-6137 - Phone
- (502) 394-0101
- NPI assigned
- Mar 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Access Behavioral Health Inc
Practice addresses (Care Compare)
3801 Springhurst Blvd
Suite 101
Louisville, KY 40241-6137
Phone (502) 394-0101
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210423001986 | KY | Practitioner - Nurse Practitioner | 5294143681 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBD Acquisition, LLC | Psychiatric Hospital | Current |
Accepting new patients |
| Access Behavioral Health Inc | Current |
Accepting new patients |
Locations
1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495
3801 Springhurst Blvd
Ste 101
Louisville, KY 40241
Phone (502) 394-0101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | KY | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3015884 | KY | Yes |
Addresses
Primary practice location
3801 Springhurst Blvd Ste 101
Louisville, KY 40241-6137
Mailing address
11613 Maple Way
Louisville, KY 40229-2212
Phone (502) 214-0206
Other providers in Louisville, KY
- Megan Olivia Jacobs
- Olivia Jacobs
- Patrick Gerard Jacobs Jr.
- Rebecca Jacobs
- Ryan Clinton Jacobs
- Matthew James Jacobsen
- Emily Rebecca Jacobson
- Peri Jean Jacobson
- Kathryn Ann Jacoby
- Jennifer B. Jacques
All providers in Louisville, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.