Individual provider Active NPI

Kristen Lynn Jacobs, NP

  • Family Nurse Practitioner
  • Cinnaminson, NJ
National Provider Identifier
1548815566
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01479400 Issued in NJ
Practice address
175 Route 130 S
Cinnaminson, NJ 08077-3376
Phone
(856) 536-1640
NPI assigned
Aug 6, 2019
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020623 PA
Family Nurse Practitioner 363LF0000X 26NJ01479400 NJ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01479400 NJ

Addresses

Primary practice location

175 Route 130 S
Cinnaminson, NJ 08077-3376

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190913000880 PA Practitioner - Nurse Practitioner 5890024087 Reassigns benefits to 3 organizations
I20220331002109 VA Practitioner - Nurse Practitioner 5890024087 Reassigns benefits to 2 organizations
I20240209002339 NJ Practitioner - Nurse Practitioner 5890024087 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
Clarity Psychiatric CareGroup PAC ID 2365836020, 14 clinicians
Cooper Urgent Care PCGroup PAC ID 2860644234, 57 clinicians

Practice addresses (Care Compare)

2 Split Rock Dr
Suite 11
Cherry Hill, NJ 08003-1244
Phone (856) 428-1260

318 S White Horse Pike
Audubon, NJ 08106-1309
Phone (856) 874-0134

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as group
Quality
93.22
Promoting interoperability
99
Improvement activities
40
Cost
79.18

Merit-based Incentive Payment System (MIPS)

Final score
83.44 of 100Reported as group
Quality
78.68
Improvement activities
40
Cost
83.9

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Jan 18, 2024 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Mar 24, 2022 Accepting new patients
Cooper Urgent Care, PC CurrentSince Dec 31, 2023 Accepting new patients
Medexpress Urgent Care, PC - Virginia Current Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Mar 24, 2022 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jun 22, 2023 Accepting new patients
Signify Health, LLC CurrentSince Oct 17, 2023 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Aug 2, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 26, 2023 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Aug 2, 2019 Accepting new patients
Clarity Psychiatric Care Psychiatric/Mental Health CurrentSince Jul 15, 2025 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients

Locations

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

2 Split Rock Dr
Ste 11
Cherry Hill, NJ 08003
Phone (856) 428-1260

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

175 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 536-1640

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

4 Schalks Crossing Rd
Plainsboro, NJ 08536
Phone (609) 275-9312

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

6501 Harbison Ave
Philadelphia, PA 19149
Phone (215) 268-1164

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

695 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-5556

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kjacobs168302@direct.cooperhealth.edu

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1548815566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 130 S",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773376",
            "telephone_number": "856-536-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-08-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01479400",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01479400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.