Organization Active NPI

Jacobus Family Enterprises LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Crown Point, IN
National Provider Identifier
1861274979
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
JACOBUS FAMILY ENTERPRISES LLC
Practice address
12136 S Williams CT
Crown Point, IN 46307-8583
Phone
(219) 765-3216
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Brent Jacobus II, MDNPI 1447757406
Title
Member
Phone
(219) 765-3216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X Primary

Addresses

Primary practice location

12136 S Williams CT
Crown Point, IN 46307-8583

Mailing address

728 Harvest LN
Washington Township, OH 45458-4359
Phone (219) 765-3216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419001389 IN Part B Supplier - Clinic/Group Practice 1052750379 Receives reassigned benefits from 1 practitioner
Practice locations: Crown Point, IN

National Provider Directory

National Provider Directory

Locations

9150 E 109th Ave
Ste 2
Crown Point, IN 46307
Phone (219) 765-3216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1861274979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 HARVEST LN",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454584359",
            "telephone_number": "219-765-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12136 S WILLIAMS CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078583",
            "telephone_number": "219-765-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBUS FAMILY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "JACOBUS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "219-765-3216",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.