JONATHAN DAN JACOBS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1033992755
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for JONATHAN DAN JACOBS (APRN)
611 MCDOWELL AVE NW
ROANOKE, VA 240161225
Phone: (540) 266-9200
Type: Location
8629 Bluejacket St
Lenexa, KS 662141604
Phone: (913) 677-3553
Type: Location
1867 MOUNT TABOR RD
BLACKSBURG, VA 240608609
Phone: (801) 979-8737
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($19).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $19 |
| ITI, Inc. | $17 |
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: 2025-01-09
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 |
|---|---|---|---|---|
| I20250109002784 | I | Nurse Practitioner | VA | 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 24016)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | VA | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA | |
| Mental Health Counselor | VA | |
| P S Y C H I A T R Y | VA | |
| Mental Health Counselor | VA | |
| Geriatric Psychiatry | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Mental Health Counselor | 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.