LORI JEAN JACOBS (APNP) – Nurse Practitioner, NPI 1386664613
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LORI JEAN JACOBS (APNP)
835 S Van Buren St
Green Bay, WI 543013526
Phone: (920) 496-4700
Fax: (920) 496-4705
Type: Location
744 S Webster Ave
Green Bay, WI 543013505
Phone: (920) 433-7550
Fax: (920) 433-7559
Type: Location
PO BOX 1866
GREEN BAY, WI 543051866
Phone: (920) 445-7222
Fax: (920) 496-4705
Type: Mailing
820 ARBUTUS AVE
OCONTO, WI 541532004
Phone: (920) 835-1100
Fax: (920) 835-1099
Type: Location
Saint Vincent Hospital, 835, South Van Buren Street, Astor, Green Bay, Brown County, Wisconsin, 54307, United States
GREEN BAY, WI 543013526
Phone: (920) 496-4700
Fax: (920) 496-4705
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 $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-10-30 • Largest payer in this snapshot: Organogenesis Inc. ($38).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $38 |
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: 2006-08-10
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 |
|---|---|---|---|---|
| I20060810000487 | I | Nurse Practitioner | WI | 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 54301)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | PA | |
| Orthopedic Surgery | SD | |
| O P H T H A L M O L O G Y | WI | |
| - | NC | |
| - | NC | |
| - | NC | |
| O P H T H A L M O L O G Y | NJ | |
| - | NC | |
| - | NC | |
| A N E S T H E S I O L O G Y | PA |
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.