MONICA LYNN JACOBS (PNP) – Pediatric Nurse Practitioner, NPI 1528197365
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MONICA LYNN JACOBS (PNP)
3435 S. ALAMEDA
CORPUS CHRISTI, TX 784111728
Phone: (361) 855-7346
Fax: (361) 853-9534
Type: Mailing
11234 ANDERSON ST TRLR C
LOMA LINDA, CA 923542804
Phone: (909) 651-1910
Fax: (909) 651-1933
Type: Mailing
250 E CAROLINE ST STE E
SAN BERNARDINO, CA 924083758
Phone: (909) 651-1910
Fax: (909) 651-1933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $123.
Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: SOBI, INC ($123).
Total Amount
$123
General + Research + Ownership
Payments
1
Total payment records
General Amount
$123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SOBI, INC | $123 |
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: 2016-11-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161102000610 | I | Nurse Practitioner | CA | 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 78411)
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Reviews
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