MS. JENNIFER LYNN JACOBS (DNP) – Adult Health Nurse Practitioner, NPI 1609289743
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for MS. JENNIFER LYNN JACOBS (DNP)
13128 N 94TH DR STE 100
PEORIA, AZ 853814252
Phone: (623) 876-8816
Fax: (623) 298-0168
Type: Mailing
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
20414 N 27TH AVE
PHOENIX, AZ 850273250
Phone: (602) 849-0115
Fax: (602) 246-7029
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $127.
Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($73).
Total Amount
$127
General + Research + Ownership
Payments
6
Total payment records
General Amount
$127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $73 |
| Vanda Pharmaceuticals Inc. | $21 |
| Xeris Pharmaceuticals, Inc. | $19 |
| Nevro Corp. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140704000007 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85381)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AZ | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | AZ | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AZ |
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