LISA JACOBS PMHNP
NPI 1568554186
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME
NPI Status: Active since September 29, 2006
Contact Information
268 STILLWATER AVE
BANGOR, ME
ZIP 04401
Phone: (207) 973-7306
Fax: (207) 973-6109
- Individual
- Female
- Years of Experience 23
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About LISA JACOBS
This page provides the complete NPI Profile along with additional information for Lisa Jacobs, a provider established in Bangor, Maine with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1568554186 assigned on September 2006. The practitioner's primary taxonomy code is 363LP0808X with license number R038704 (ME). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1568554186
- Provider Name
- LISA JACOBS PMHNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 268 STILLWATER AVE BANGOR, ME 04401
- Location Phone
- (207) 973-7306
- Location Fax
- (207) 973-6109
- Mailing Address
- 21823 E SANDY HILL LN SOUTH BEND, IN 46628
- Mailing Phone
- (574) 807-5145
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-29-2006
- Last Update Date
- 09-04-2015
- Code Navigator
A nurse practitioner (NP) like Lisa Jacobs is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R038704
- License State
- ME
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| NS8083 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| P96433 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Lisa Jacobs is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Lisa Jacobs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3870482672
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120802000177, I20151002001914
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.64 for a new patient copayment and $23.65 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 04401 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.58
- Minimum New Patient Price $53.26
- Maximum New Patient Price $162.77
- Average New Patient Copayment $20.64
- Minimum New Patient Copayment $13.31
- Maximum New Patient Copayment $40.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.6
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $132.79
- Average Established Patient Copayment $23.65
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $33.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Documentation of Current Medications in the Medical Record | 99% | 1265 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 99% | 2336 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Patient-Specific Education | 79% | 431 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 97% | 64 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 70% | 305 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 100% | 431 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 42% | 431 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lisa Jacobs is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| CALAIS COMMUNITY HOSPITAL | 24 HOSPITAL LANE CALAIS, ME 04619 | (207) 454-7521 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 5 | 5 | 4 | 1 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 10 | 5 | 8 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 0 + 5 + 8 + 1 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1568554186 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780609453 | MARK KUNSTMAN LCSW Individual | Social Worker (Clinical) | 268 STILLWATER AVE ACADIA HOSPITAL CORPORATION BANGOR, ME 04401 (207) 973-6100 |
| 1447352877 | ALFREDA MOULAND FNP Individual | Nurse Practitioner (Family) | 268 STILLWATER AVE ACADIA HOSPITAL CORP BANGOR, ME 04401 (207) 973-6100 |
| 1366621260 | DR. JESSICA MARIE POLLARD PHD Individual | Psychologist (Clinical) | 268 STILLWATER AVE ACADIA HOSPITAL CORP BANGOR, ME 04401 (207) 973-6100 |
| 1982887535 | DALLAS LEE ADAMS LCSW Individual | Social Worker (Clinical) | 268 STILLWATER AVE ACADIA HOSPITAL CORP BANGOR, ME 04401 (207) 973-6100 |
| 1275718025 | MARY F KELLOGG LMSW CC Individual | Social Worker (Clinical) | 268 STILLWATER AVE ACADIA HOSPITAL CORP BANGOR, ME 04401 (207) 973-6100 |
| 1538344247 | NEVALEE SELTZER DO Individual | Psychiatry & Neurology (Psychiatry) | 268 STILLWATER AVE ACADIA HOSPITAL CORP BANGOR, ME 04401 (207) 973-6100 |
| 1831493204 | ELIZABETH ANN SMITH PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6100 |
| 1174809412 | MRS. JENNIFER WYNNE TAYLOR PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6100 |
| 1992072508 | MRS. MARCIA CAROLYN BEAN PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6860 |
| 1376889659 | MS. MICHELLE CHAMBERLAND PMH-NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6199 |
| 1750324646 | JUDITH MUHLIN LCSW Individual | Social Worker (Clinical) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6470 |
| 1588085039 | COLLEEN HURLEY Individual | Social Worker (Clinical) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6002 |
| 1134470958 | MELISSA A. FRIEND-ADAMS LCPC-C Individual | Counselor (Professional) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6304 |
| 1831435502 | MRS. MIRANDA JEANNE FEARON LCSW Individual | Social Worker (Clinical) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6100 |
| 1932502002 | WARREN BENJAMIN BLACK Individual | Nurse Practitioner (Psychiatric/Mental Health) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6100 |
| 1023400231 | JUSTIN MICHAUD Individual | Counselor (Professional) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6044 |
| 1447345160 | LINDA FRENETTE FNP Individual | Nurse Practitioner (Family) | 268 STILLWATER AVE ACADIA HOSPITAL CORP BANGOR, ME 04401 (207) 973-6100 |
| 1972986826 | AMANDA DELUCK PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-5295 |
| 1437526670 | REBECCA FAULKNER Individual | Social Worker (Clinical) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6607 |
| 1821466749 | MRS. SARA PORTER LCSW Individual | Social Worker (Clinical) | 268 STILLWATER AVE BANGOR, ME 04401 (207) 973-6100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568554186, enumerated in the NPI registry as an "individual" on September 29, 2006
The provider is located at 268 Stillwater Ave Bangor, Me 04401 and the phone number is (207) 973-7306
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider has more than 23 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.58 with an average copayment of $20.64 for new patient appointments. Established patients should expect a typical charge of $94.6 and an average copayment of 23.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): CALAIS COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.