Shannon Nicole Jacobs, FNP-C - Nurse Practitioner in Miamisburg, OH

Shannon Nicole Jacobs, FNP-C is a Nurse Practitioner - Family based in Miamisburg, Ohio. Shannon Nicole Jacobs is licensed to practice in Ohio (license number 023861) and her current practice location is 3333 W Tech Rd, Miamisburg, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 641-5725.

NPI number for Shannon Nicole Jacobs is 1265909469 and her current mailing address is Po Box 933421, Cleveland, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265909469.

Contact Information

Shannon Nicole Jacobs, FNP-C
3333 W Tech Rd,
Miamisburg, OH 45342-0955
(937) 641-5725
(937) 350-3050

Map and Direction




Provider's Profile

Full NameShannon Nicole Jacobs
GenderFemale
SpecialityNurse Practitioner - Family
Location3333 W Tech Rd, Miamisburg, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265909469
  • Provider Enumeration Date: 10/26/2018
  • Last Update Date: 10/16/2026

Medical Identifiers

Medical identifiers for Shannon Nicole Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265909469NPI-NPPES
0360892MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 023861 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Nicole Jacobs is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Nicole Jacobs, FNP-C
Po Box 933421,
Cleveland, OH 44193-0039

Ph: (937) 641-5072
Shannon Nicole Jacobs, FNP-C
3333 W Tech Rd,
Miamisburg, OH 45342-0955

Ph: (937) 641-5725

Reviews and Comments


Nurse Practitioner Nurses in Miamisburg, OH

Mallory Michelle Michna, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2960 Ferndown Dr, Miamisburg, OH 45342
Phone: 937-886-5510    Fax: 937-813-2637
Heather Anne Duehren, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342
Phone: 937-759-0545    Fax: 937-759-0549
Natalie Michelle Jones,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3300 W Tech Blvd, Miamisburg, OH 45342
Phone: 937-641-3000    
Sandra L Kimball, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 415 Byers Rd, Suite 300, Miamisburg, OH 45342
Phone: 937-866-2494    Fax: 937-866-8494
Mr. Seth T Kidwell, MSN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342
Phone: 937-641-4000    Fax: 937-641-6492
Ashley Roden, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342
Phone: 937-759-0545    
Sarah E Jacobs, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342
Phone: 937-759-0545    Fax: 937-759-0549

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.