Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609871714 Deactivated / Inactive NPI Female Practitioner

Loretta Marie Jacob , CRNP

Nurse Practitioner • Salem, OH

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Loretta Jacob has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2005
NPI Deactivation Date June 26, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Loretta Jacob, CRNP was a registered Nurse Practitioner practicing in Salem, OH. Throughout an active medical career spanning 19 years, Loretta Jacob provided care at the practice location at 1995 E STATE ST until profile deactivation on 2024-06-26.

Practice Location & Contact Primary Location

Practice Address

1995 E State St

Salem, OH 444602423

Telephone 3304802199
Fax 3304802071
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Salem, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Salem, OH (4294 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP04783

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Diane Kupensky , RN CNS

Clinical Nurse Specialist

NPI 1194893230

RNCNS

Talishia Jones , MSN, APRN, AGNP-C

Nurse Practitioner - Adult Health

NPI 1356711139

Master of Science in Nursing, Advanced Practice Registered Nurse, Adult-Gerontology Nurse Practitioner (Certified)

Jessica Fryda

Nurse Practitioner - Family

NPI 1427646785
Amber Johnstone , LISW

Social Worker - Clinical

NPI 1588140800

Licensed Independent Social Worker

Dr. Shannon Mcnally , MD

Internal Medicine

NPI 1598771628

Doctor of Medicine (M.D.)

Dr. Nicholas Kreatsoulas , DO

Emergency Medicine - Hospice and Palliative Medicine

NPI 1659479327

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 26, 2024

Record deactivated on June 26, 2024

NPI Profile Active May 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2016

Registered at 1995 E STATE ST, SALEM, OH 444602423 (Tel: 3304802199)

📍
Updated Business Mailing Address May 18, 2016

Registered at PO BOX 636988, CINCINNATI, OH 452636988 (Tel: 8889402722)

👤
Provider Name / Credentials Updated May 18, 2016

Recorded as LORETTA JACOB, C.R.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2016

Nurse Practitioner (License #NP04783 in OH)

🟢
Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Loretta Jacob. Be the first to share your experience!

Sign in to leave a review for Loretta Jacob

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609871714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2005
Last Update: May 18, 2016
Deactivation Date: June 26, 2024

Mailing Address

Po Box 636988

Cincinnati, OH 452636988

Phone: 8889402722

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.