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

Jacob R Deboni, FNP

Individual provider Family Nurse Practitioner · NPI 1578036091

Jacob R Deboni, FNP is a Nurse Practitioner in Manistee, Michigan. Qualified in 2018, 8 years ago. Practices with Lakeshore Family Care PC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

72 Filer St
Manistee, MI 49660-2717
Phone: (231) 723-5600
Fax: (231) 723-1048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704285441 (MI)

Record details

NPI number1578036091
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address72 Filer St, Manistee, MI 49660-2717

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lakeshore Family Care Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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