MR. MICHAEL D JACOBSON PA-C NPI 1013959188

NPI Information

NPI: 1013959188
Provider Name: MR. MICHAEL D JACOBSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2121 E HARMONY RD
SUITE 300
FORT COLLINS, CO
ZIP 80528
Phone: (970) 224-9102
Get Directions

MR. Michael D Jacobson, PA-C is a medical physician assistant in Fort Collins, CO with 19 years of experience. MR. Michael D Jacobson, PA-C NPI is 1013959188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 E HARMONY RD
SUITE 300
FORT COLLINS, CO
ZIP 80528-400
Phone: (970) 224-9102
Fax: (970) 224-9112

The NPI 1013959188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 8/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110002152	VIRGINIA	No
2	363AM0700X	Physician Assistant	Medical	PA.0004358	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q56651	MEDICARE UPIN	VIRGINIA
2	444945YLB8	MEDICARE PIN	COLORADO
3	19730136	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »