Matthew Jacobson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25098.1537 Issued in WY

Practice address

108 20TH Street
Torrington, WY 82440-2812

Phone

(307) 269-0947

NPI assigned

Aug 8, 2016

Last updated

Apr 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cowboy Clinic and Urgent Care LLCGroup PAC ID 1456691013, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Torrington, WY, CCN 531307

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cowboy Clinic and Urgent Care LLC

  • Family Nurse Practitioner
  • Torrington, WY
  • NPI 1750892436
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital

  • Critical Access Hospital
  • Torrington, WY
  • NPI 1669410643
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1003360991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 20TH STREET",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "824402812",
            "telephone_number": "307-269-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 20TH STREET",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "824402812",
            "telephone_number": "307-269-0947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 S Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826014349",
            "country_code": "US",
            "telephone_number": "307-421-9391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MATTHEW",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "25098.1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megin Elizabeth Irons, CSW
• Jackson Chiropractic Inc.
• Benjamin Caleb Jackson, D.C
• Hannah Beth Jackson
• Michele Lee Jackson
• Haly L. Jensenhof, LPC
• Kerry Jinks, BA
• Samantha Marie Joe
• Amy Lawan Johansson, FNP-C
• Ryan Christopher Johns

• Family Nurse Practitioner in Torrington, WY
• Providers in Torrington, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.