Edwina Jacobs, FNP

NPI: 1063765451

Edwina Jacobs, FNP

Q: What is Edwina Jacobs's NPI number?

Edwina Jacobs's NPI number is 1063765451, a unique 10-digit identifier issued by CMS.

Q: What does Edwina Jacobs specialize in?

Edwina Jacobs specializes in Nurse Practitioner, taxonomy code 363LF0000X.

Q: Where does Edwina Jacobs practice?

Edwina Jacobs practices in Bridge City, TX 77611-2434.

Q: When was Edwina Jacobs's NPI issued?

Edwina Jacobs's NPI was issued on October 23, 2012.

Q: What is Edwina Jacobs's provider type?

Edwina Jacobs is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: October 23, 2012

Quick Facts

NPI Number

1063765451

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LF0000X — Nurse Practitioner

Phone

(409) 735-7305

StateTX

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1063765451)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 23, 2012)

Data source: CMS NPPES

Provider Overview

EDWINA JACOBS, FNP is a Nurse Practitioner provider based in Bridge City, TX who has been registered with CMS since 2012. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063765451

Provider TypeIndividual Provider

GenderFemale

CredentialFNP

StatusActive

Enumeration DateOctober 23, 2012

Practice Location

CityBridge City

StateTX

ZIP Code77611-2434

Phone(409) 735-7305

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LF0000X

License StateTX

Mailing Address

CityBridge City

StateTX

ZIP Code77611-2434

Phone(409) 735-7305

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1063765451 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063765451for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063765451 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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