RANDI JACOBS (APRN) – Family Nurse Practitioner, NPI 1063127967
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,387 NURSE PRACTITIONER in KY
Provider Addresses for RANDI JACOBS (APRN)
210 Black Gold Blvd Ste 106
Hazard, KY 417012620
Phone: (606) 436-0711
Fax: (606) 436-0848
Type: Location
PO BOX 936
LONDON, KY 407430936
Phone: (859) 967-5748
Fax: (859) 967-5473
Type: Mailing
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 405099087
Phone: (859) 967-5848
Fax: (859) 967-5473
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $484.
Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($302).
Total Amount
$484
General + Research + Ownership
Payments
16
Total payment records
General Amount
$484
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-02-14
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230214001035 | I | Nurse Practitioner | KY | 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 41701)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | KY | |
| N E U R O L O G Y | OH | |
| Clinical Social Worker | KY | |
| - | KY | |
| Surgical Oncology | OH | |
| Internal Medicine, Orthopedic Surgery | NC |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.