PAULA MARIE JACOBSEN CNP NPI 1073589834

NPI Information

NPI: 1073589834
Provider Name: PAULA MARIE JACOBSEN, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: AVERA MCKENNAN

PECOS Registration: Yes

Address:
1417 S. CLIFF AVE.
STE. 401
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-8920
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Paula Marie Jacobsen, CNP is a family nurse practitioner in Sioux Falls, SD with 19 years of experience. Paula Marie Jacobsen, CNP NPI is 1073589834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1417 S. CLIFF AVE.
STE. 401
SIOUX FALLS, SD
ZIP 57105-064
Phone: (605) 322-8920
Fax: (605) 322-8919

The NPI 1073589834 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 2/23/2006 and was last updated on 6/30/2015.

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	363LF0000X	Nurse Practitioner	Family	CP000441	SOUTH DAKOTA	No
2	363LF0000X	Nurse Practitioner	Family	A-127382	IOWA	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	Other Provider Identifier Issuer
1	37L32SA	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
2	37L32SA	OTHER	MINNESOTA	BLUE CROSS
3	12262	MEDICAID	NORTH DAKOTA
4	S102830	MEDICARE PIN	SOUTH DAKOTA
5	1073589834	OTHER		ARAZ/AMERICA'S PPO
6	57105F019	OTHER	SOUTH DAKOTA	WPS TRICARE
7	9237791	OTHER	SOUTH DAKOTA	DAKOTACARE
8	Q50549	MEDICARE UPIN	SOUTH DAKOTA
9	4992623	OTHER	SOUTH DAKOTA	BLUE CROSS
10	0596684	MEDICAID	IOWA
11	S102157	MEDICARE PIN	SOUTH DAKOTA
12	P00448581	OTHER		RR MEDICARE
13	6828076	MEDICAID	SOUTH DAKOTA
14	769201045265	OTHER		PREFERRED ONE
15	102157	MEDICAID	SOUTH DAKOTA

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: 11/14/2023

NPI Synchronization or Removal

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