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

Jonathan Dan Jacobs, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1033992755

Jonathan Dan Jacobs, APRN is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2022, 4 years ago. Practices with Blue Ridge Behavioral Healthcare, a 26-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
4
Licensed in
KS, MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

611 McDowell Ave NW
Roanoke, VA 24016-1225
Phone: (540) 266-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8629 Bluejacket St, Lenexa, KS 66214-1604 — (913) 677-3553

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 53-82245-101 (KS)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2023015551 (MO)

Record details

NPI number1033992755
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedAugust 16, 2023
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address1867 Mount Tabor Rd, Blacksburg, VA 24060-8609

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Blue Ridge Behavioral Healthcare — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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