Individual provider Active NPI

Lisa Marie Jacobs, APRN

  • Nurse Practitioner
  • Lynchburg, OH
National Provider Identifier
1871848176
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29297 Issued in OH
Practice address
8900 State Route 134
Lynchburg, OH 45142-9272
Phone
(937) 364-2346
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 329999 OH
Nurse Practitioner 363L00000X 29297 OH Primary

Addresses

Primary practice location

8900 State Route 134
Lynchburg, OH 45142-9272

Mailing address

PO Box 637736
Cincinnati, OH 45263-7736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210927003208 OH Practitioner - Nurse Practitioner 3476950809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Health Providers CorpGroup PAC ID 0244257848, 15 clinicians

Practice addresses (Care Compare)

8900 State Route 134
Lynchburg, OH 45142-9272
Phone (937) 364-2346

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329999OHMDRegistered Nurse
29297OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Aug 1, 2021 Accepting new patients
Highland Health Providers Corp CurrentSince Aug 5, 2024 Accepting new patients
Highland Health Providers Corp CurrentSince Aug 5, 2024 Accepting new patients
Trusted Health Care, Inc PastSince Apr 15, 2022 Accepting new patients

Locations

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

1487 N High St
Ste 102
Hillsboro, OH 45133
Phone (937) 393-3406

8900 State Route 134
Lynchburg, OH 45142
Phone (937) 364-2346

2845 Progress Way
Wilmington, OH 45177
Phone (937) 366-1082

Interoperability endpoints

  • Direct secure messaging: ljacobs439357@direct.trihealth.com

Organizations & group practices 4

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1871848176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637736",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 STATE ROUTE 134",
            "city": "LYNCHBURG",
            "state": "OH",
            "postal_code": "451429272",
            "telephone_number": "937-364-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "329999",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "29297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, OH

Sources for this page

Verify at the official NPI Registry.