THOMAS LARUE JACOBS (ARNP) – Nurse Practitioner, NPI 1790201598
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for THOMAS LARUE JACOBS (ARNP)
400 NE Mother Joseph Pl
Vancouver, WA 986643200
Phone: (360) 514-2000
Type: Location
Encore Wellness 4 Life 135 Vista Way, Suite E
Kennewick, WA 993363200
Phone: (509) 987-1099
Type: Location
Encore Wellness 4 Life 1890 7th St
Umatilla, OR 978823200
Phone: (541) 922-1750
Type: Location
NOC Medical Clinic
12 Acre Pad, Oliktok Road
Prudhoe Bay, AK 997340000
Phone: (907) 685-1420
Type: Location
105, South Columbia River Highway, West Saint Helens, Saint Helens, Columbia County, Oregon, 97051, United States
SAINT HELENS, OR 970512860
Phone: (503) 397-7119
Type: Location
29134, Old Rainier Road, Rainier, Columbia County, Oregon, 97048, United States
RAINIER, OR 970482300
Phone: (360) 818-4677
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-03-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171003007599 | I | Nurse Practitioner | WA | TBD |
| I20200327000475 | I | Nurse Practitioner | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 29 | $0 |
Insurance plans in this area (ZIP 98664)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | TN | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| General Surgery, Thoracic Surgery | WA | |
| - | OR | |
| - | OR | |
| - | WA |
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