Active NPI 1255693107 Individual Practitioner Female Practitioner

Debra A Jacobs , CPNP-PC

Nurse Practitioner - Pediatrics • Centerville, OH

Professional Overview & Biography Verified Profile Summary

Debra Jacobs, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Centerville, OH. Practice services are available at 2034 BLUESTREAM CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2034 Bluestream Ct

Centerville, OH 454597500

Telephone 9374320711

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Centerville, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Centerville, OH (1102 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-28

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OH APRN.CNP.13335

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0072811 (OH)

Secondary Practice Locations

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376415725

8501 Old Troy Pike

Huber Heights, OH 454241054

Phone: 9376414360

662 N Main St

Springboro, OH 450669553

Phone: 9376415066

3301 Dayton Xenia Rd Ste 200

Beavercreek, OH 454322759

Phone: 9376415098

7787 Cox Ln

West Chester, OH 450696549

Phone: 5136448081

1711 Germantown Pike

Dayton, OH 45417

Phone: 9376413142

792 Northwoods Blvd

Vandalia, OH 453779462

Phone: 9376414236

6044 Wilmington Pike

Dayton, OH 454597006

Phone: 9376413270

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2026

Nurse Practitioner (License #APRN.CNP.13335 in OH)

✅

NPI Profile Active June 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2012

Registered at 2034 BLUESTREAM CT, CENTERVILLE, OH 454597500 (Tel: 9374320711)

📍

Updated Business Mailing Address June 15, 2012

Registered at 2034 BLUESTREAM CT, CENTERVILLE, OH 454597500 (Tel: 9374320711)

👤

Provider Name / Credentials Updated June 15, 2012

Recorded as DEBRA JACOBS, CPNP-PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2012

Nurse Practitioner (License #13335-NP in OH)

🟢

Initial NPI Registration & Enumeration June 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255693107

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2012

Last Update: May 28, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2034 Bluestream Ct

Centerville, OH 454597500

Phone: 9374320711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.