MRS. EDWINA YVONNE JACOBS (FNP) – Family Nurse Practitioner, NPI 1063765451

MRS. EDWINA YVONNE JACOBS (FNP) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 654339 (TX). The NPI Number for MRS. EDWINA YVONNE JACOBS (FNP) is 1063765451

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EDWINA YVONNE JACOBS (FNP)
NPI
1063765451
Phone
(409) 796-2214
Address
9157 HILLEBRANDT RD
Enumeration Date
23 October 2012
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098339797
Graduation Year
2012 (14 years ago)
PAC ID
6204089170
Group Practice PAC ID
6608399829
Professional Enrollment ID
I20130102000208
Address ID
TX777014679BE3570XSTXX303
Telehealth
Yes

Contacts

Secure Messaging
gtfcc@live.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. EDWINA YVONNE JACOBS (FNP)

  • 9157 HILLEBRANDT RD

    BEAUMONT, TX 777058294

    Phone: (409) 796-2214

    Type: Mailing

  • 610 STRICKLAND DR STE 340

    ORANGE, TX 776304788

    Phone: (409) 670-0044

    Fax: (409) 670-0007

    Type: Location

  • 9632 Gaulding Rd

    Beaumont, TX 777059450

    Phone: (409) 679-4159

    Fax: (888) 972-9401

    Type: Location

  • 615 W ROUND BUNCH RD

    BRIDGE CITY, TX 776112434

    Phone: (409) 735-7305

    Fax: (888) 972-9401

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $1,565.

Total Amount is formed as General ($1,565) + Research ($0) + Ownership ($0) = $1,565.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($422).

Total Amount

$1,565

General + Research + Ownership

Payments

95

Total payment records

General Amount

$1,565

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-01-02

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
I20130102000208INurse PractitionerTXTBD

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 77705)

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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: 6608399829View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Family PracticePA
Family PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find MRS. EDWINA YVONNE JACOBS (FNP)'s NPI?
You can confirm MRS. EDWINA YVONNE JACOBS (FNP) with NPI 1063765451; it appears in the national provider directory.
Is MRS. EDWINA YVONNE JACOBS (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. EDWINA YVONNE JACOBS (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. EDWINA YVONNE JACOBS (FNP). Clinical services aligned with this taxonomy classification.
Does MRS. EDWINA YVONNE JACOBS (FNP) practice in Texas?
You will see Beaumont, Texas on file for MRS. EDWINA YVONNE JACOBS (FNP) alongside any extra practice locations.
What if Beaumont, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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