JASON ROBERT JACOBSON APRN NPI 1104456565

NPI Details

Jason Robert Jacobson, APRN is a family nurse practitioner in Jacksonville, FL with 7 years of experience. Jason Robert Jacobson, APRN NPI is 1104456565. 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:

12428 SAN JOSE BLVD STE 4
JACKSONVILLE, FL
ZIP 32223-617
Phone: (602) 403-9466
Fax: (602) 708-5615

The NPI 1104456565 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Emergency department visit for life threatening or functioning severity (HCPCS:99285)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Emergency department visit for problem of high severity (HCPCS:99284)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 1/23/2020 and was last updated on 9/4/2025.

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: