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

John Jacobs III, NP-C

Individual provider Family Nurse Practitioner · NPI 1497184378

John Jacobs III, NP-C is a Nurse Practitioner in Laramie, Wyoming. Graduated from Wright State University Boonshoft School of Medicine in 2013, 13 years ago. Practices with Grand Avenue Urgent Care LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Colorado, Massachusetts and Wyoming.

Years since qualifying
13
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
CO, MA, WY
In the registry since
2013
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3236 E Grand Ave Ste D
Laramie, WY 82070-5100
Phone: (307) 760-8602
Fax: (307) 460-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 34286.1346 (WY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.0990808-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2259982 (MA)

Record details

NPI number1497184378
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedNovember 1, 2013
Last updated in NPPESNovember 14, 2018
Mailing address3236 E Grand Ave Ste D, Laramie, WY 82070-5100

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Grand Avenue Urgent Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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