Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Abby Jean Jacobs , NP

Nurse Practitioner β€’ Clovis, CA

Active NPI 1043515414 Individual Practitioner Female Practitioner
Practice location in NPPES

2755 Herndon Ave
Clovis, CA 936116800

Call 5596037300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2755 Herndon Ave

Clovis, CA 936116800

Telephone 5596037300
Organization at the Same NPPES Address or Phone
Fresno Community Hospital And Medical Center Facility NPI 1316027709

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Fresno, CA; Palo Alto, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Abby Jacobs has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Abby Jacobs as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clovis and California

23 active clinicians are listed under Nurse Practitioner with a practice address in Clovis, CA (8,237 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clovis

21.7% of these 23 clinicians have the CMS telehealth indicator.

47.8% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CA 20482

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20200512000328

Enrollment State Jurisdiction

CA

PECOS Control ID

3173954971

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2823 Fresno St, Fourth Floor Nicu

Fresno, CA 937211324

Phone: 5594593961

725 Welch Rd

Palo Alto, CA 943041601

Phone: 6504978000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Mandeep Sidhu

Internal Medicine

NPI 1700394608

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location February 11, 2025

Registered at 2755 HERNDON AVE, CLOVIS, CA 936116800 (Tel: 5596037300)

πŸ“
Updated Business Mailing Address February 11, 2025

Registered at PO BOX 889442, LOS ANGELES, CA 900889442 (Tel: 5596037372)

πŸ“
Updated Business Mailing Address March 27, 2024

Registered at 725 WELCH RD, PALO ALTO, CA 943041601 (Tel: 6504978000)

πŸ‘€
Provider Name / Credentials Updated March 27, 2024

Recorded as ABBY JACOBS, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2024

Nurse Practitioner (license number reported to NPPES: CA 20482)

πŸ“
Updated Practice Location December 03, 2019

Registered at 725 WELCH RD, PALO ALTO, CA 943041601 (Tel: 6504978000)

βœ…
NPI Profile Active July 01, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 01, 2016

Registered at 2823 FRESNO ST, FOURTH FLOOR NICU, FRESNO, CA 937211324 (Tel: 5594593961)

πŸ“
Business Mailing Address (Initial Record) July 01, 2016

Registered at 2823 FRESNO ST, FOURTH FLOOR NICU, FRESNO, CA 937211324 (Tel: 5594593961)

πŸ‘€
Provider Name / Credentials (Initial Record) July 01, 2016

Recorded as ABBY JACOBS, NNP-BC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2016

Nurse Practitioner (license number reported to NPPES: CA 20482)

🟒
Initial NPI Registration & Enumeration January 17, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1043515414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2011
Last Update: February 11, 2025
Sole Proprietor: No

Other Nurse Practitioners in Clovis

All Nurse Practitioners in Clovis

Mailing Address

Po Box 889442

Los Angeles, CA 900889442

Phone: 5596037372

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.