Randi Jacobs, APRN - Medicare Nurse Practitioner in Lexington, KY

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Randi Jacobs, APRN is a medicare enrolled "Nurse Practitioner - Family" in Lexington, Kentucky. Her current practice location is 170 N Eagle Creek Dr Ste 104, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 967-5848.

Randi Jacobs is licensed to practice in Kentucky (license number 3018860) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063127967.

Contact Information

Randi Jacobs, APRN
170 N Eagle Creek Dr Ste 104,
Lexington, KY 40509-9087
(859) 967-5848
(859) 967-5473

Map and Direction




Provider's Profile

Full NameRandi Jacobs
GenderFemale
SpecialityNurse Practitioner - Family
Location170 N Eagle Creek Dr Ste 104, Lexington, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063127967
  • Provider Enumeration Date: 01/16/2023
  • Last Update Date: 01/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5597137828
  • Enrollment ID: I20230214001035

Medical Identifiers

Medical identifiers for Randi Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063127967NPI-NPPES
7100874920MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3018860 (Kentucky)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randi Jacobs allows following entities to bill medicare on her behalf.
Entity NameKentuckyone Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104875970
PECOS PAC ID: 8820993702
Enrollment ID: O20031204000080
Entity NameMountain After Hours Clinic Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477638880
PECOS PAC ID: 0547170102
Enrollment ID: O20040506000973
Entity NameQuantum Healthcare Associates Of Cumberland, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255603619
PECOS PAC ID: 0345403424
Enrollment ID: O20120530000361
Entity NameKentucky Mountain Health Alliance, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407043979
PECOS PAC ID: 8123112687
Enrollment ID: O20140605001605

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. Randi Jacobs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randi Jacobs, APRN
Po Box 936,
London, KY 40743-0936

Ph: (859) 967-5748		Randi Jacobs, APRN
170 N Eagle Creek Dr Ste 104,
Lexington, KY 40509-9087

Ph: (859) 967-5848

Reviews and Comments


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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.