DELORIS M JACOBS (APRN) – Nurse Practitioner, NPI 1154460467

DELORIS M JACOBS (APRN) is a healthcare provider. based in Radcliff, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4861P (KY). The NPI Number for DELORIS M JACOBS (APRN) is 1154460467

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DELORIS M JACOBS (APRN)
NPI
1154460467
Phone
(270) 351-3192
Address
700 W LINCOLN TRAIL BLVD
Enumeration Date
5 February 2007
Last Update Date
25 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705242889
Graduation Year
2005 (21 years ago)
PAC ID
7012932015
Group Practice PAC ID
6305947789
Professional Enrollment ID
I20070702000383
Address ID
KY427659426MU600XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for DELORIS M JACOBS (APRN)

  • 700 W LINCOLN TRAIL BLVD

    RADCLIFF, KY 401602604

    Phone: (270) 351-3192

    Fax: (270) 351-5499

    Type: Mailing

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 858-6655

    Fax: (270) 858-4607

    Type: Mailing

  • 2608 RING ROAD

    STE B107

    ELIZABETHTOWN, KY 42701

    Phone: (270) 506-3741

    Fax: (270) 506-3768

    Type: Location

  • 220 INTERSTATE PLAZA RD STE D

    MUNFORDVILLE, KY 427658400

    Phone: (270) 524-2889

    Fax: (270) 524-2893

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,214.

Total Amount is formed as General ($1,214) + Research ($0) + Ownership ($0) = $1,214.

Last reported payment date: 2024-10-20 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($148).

Total Amount

$1,214

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-07-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070702000383INurse PractitionerKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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 40160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305947789View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Nurse Midwife (Cnm)KY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Certified Nurse Midwife (Cnm)KY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for DELORIS M JACOBS (APRN) in the U.S.?
In the U.S., DELORIS M JACOBS (APRN) is identified by NPI 1154460467.
Does the public listing show DELORIS M JACOBS (APRN) as active?
DELORIS M JACOBS (APRN)'s NPI record reflects an active status in NPPES.
What services align with DELORIS M JACOBS (APRN)'s listing?
DELORIS M JACOBS (APRN)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit DELORIS M JACOBS (APRN) in Radcliff, Kentucky?
For routing, start with Radcliff, Kentucky for DELORIS M JACOBS (APRN), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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