Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autum Renee Jacobs, FNP-BC

Individual provider Gastroenterology Physician · NPI 1235954926

Autum Renee Jacobs, FNP-BC is a Nurse Practitioner in Prescott, Arizona. Qualified in 2024, 2 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

820 Ainsworth Dr Ste A
Prescott, AZ 86301-1613
Phone: (928) 771-5548
Fax: (928) 771-5549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6648 N Viewpoint Dr Ste 5, Prescott Valley, AZ 86315-4942 — (928) 771-5548

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 314886 (AZ)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 314886 (AZ)

Record details

NPI number1235954926
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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