Individual provider Active NPI

Jacob Laney Hines, FNP-BC

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1417588245
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012808 Issued in NC
Practice address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone
(252) 413-6725
NPI assigned
Jan 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 5012808 NC Primary

Addresses

Primary practice location

1850 W Arlington Blvd
Greenville, NC 27834-5704

Mailing address

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6725

Other practice location 1

303 Green St E
Wilson, NC 27893-4105
Phone (252) 243-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200402002670 NC Practitioner - Nurse Practitioner 5294164810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians

Practice addresses (Care Compare)

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Galileo Medical Group NC PC CurrentSince May 27, 2025 Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Feb 8, 2020 Accepting new patients
NHCS Physicians Inc CurrentSince Nov 5, 2024 Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Feb 8, 2020 Accepting new patients
Physicians East, P.a. CurrentSince Oct 30, 2025 Accepting new patients
Carolina Family Health Centers, Inc Current Accepting new patients
Carolina Family Health Centers, Inc Current Accepting new patients
Physicians East, PA CurrentSince Oct 30, 2025 Accepting new patients

Locations

8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744

315 W 2nd St
Greenville, NC 27834
Phone (252) 507-0588

1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641

2460 Curtis Ellis Dr
Bldg 100
Rocky Mount, NC 27804
Phone (252) 962-2328

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514

303 Green St E
Wilson, NC 27893
Phone (252) 243-9800

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

Interoperability endpoints

  • Direct secure messaging: jacob.hines@450368864321540.direct.elationemr.com
  • Direct secure messaging: jacobhines@pepa.medalliesdirect.net
  • Direct secure messaging: jhines304544@direct.ochin.org
  • Direct secure messaging: jhines153920@direct.unc.nchie.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1417588245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-413-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-413-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Green St E",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278934105",
            "country_code": "US",
            "telephone_number": "252-243-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "JACOB",
        "middle_name": "LANEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.