Elissa Michelle Jacobs

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

830760 Issued in TX

Practice address

8035 Memorial Blvd
Port Arthur, TX 77640-7002

Phone

(409) 344-9307

NPI assigned

Feb 8, 2018

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Etx Medical Group, PLLCGroup PAC ID 8729494927, 14 clinicians

Texas Sleep Clinic - BT, PLLCGroup PAC ID 2668648361, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elissa.jacobs.1@13821.direct.athenahealth.com
• Direct secure messaging: elissa.jacobs.p2@direct.alegiscare.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4

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.

• Etx Medical Group, PLLC

  dba EastEx Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1629669684
  Medicare reassignment Care Compare group NPD
• Texas Sleep Clinic - BT PLLC

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1861772675
  Medicare reassignment Care Compare group NPD
• Doctors Express of the Beaumont Area PA

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment NPD
• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  TX

  Medicare reassignment NPD
• Southlake Doctors Express, PA PSC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• Houston Medical Care, PA

  dba Doctors Express

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1063714236
  NPD (past)
• Sleep Safe LLC

  • Durable Medical Equipment & Medical Supplies
  • Beaumont, TX
  • NPI 1366408148
  NPD (past)

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1922507599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 LINNS WAY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063149",
            "telephone_number": "409-423-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776407002",
            "telephone_number": "409-344-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ELISSA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "830760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inpatient Consultants of Texas, PLLC
• Trisha Renee Irwin, OTR/L
• Mohammed Amirul Islam, MD
• Jack 1 Foundation Inc. (Golden Triangle Adult Day Care)
• Aledra Mesharn Jacobs, LPC-A
• Jermaine Jacobs
• Deepti Jaggari, DMD
• Brandon Jaime
• Latoya James, FNP-BC
• Rojina Habib Jasani, MD

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.