Elizabeth Marie Jacobsen, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

085216 Issued in IA

Practice address

430 W 35TH St
Davenport, IA 52806-5820

Phone

(563) 391-2889

Fax

(563) 391-2988

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quad Cities Foot and Ankle Associates PCGroup PAC ID 7618102831, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
• Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104

Merit-based Incentive Payment System (MIPS)

Final score

86.63 of 100Reported as individual

Quality

74.82

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11329/brand/1/csg/1/fhir/r4
• Direct secure messaging: ejacobsen496543@direct.unitypoint.org
• Direct secure messaging: elizabeth.jacobsen.1@11329.direct.athenahealth.com

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

• Quad Cities Foot & Ankle Associates PC

  • Primary Podiatric Medicine Podiatrist
  • Bettendorf, IA
  • NPI 1639517501
  Medicare reassignment Care Compare group
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Genesis Health System

  • Critical Access Hospital
  • De Witt, IA
  • NPI 1649368523
  Care Compare affiliation
• Genesis Health System

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Bettendorf, IA
  • NPI 1124110820
  Care Compare affiliation

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1023450145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W 35TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065820",
            "telephone_number": "563-391-2889",
            "fax_number": "563-391-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W 35TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065820",
            "telephone_number": "563-391-2889",
            "fax_number": "563-391-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1518 Mulberry Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527613433",
            "country_code": "US",
            "telephone_number": "563-391-2889",
            "fax_number": "563-391-2988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1118 11th St Stop 1",
            "address_purpose": "LOCATION",
            "city": "DE Witt",
            "state": "IA",
            "postal_code": "527421235",
            "country_code": "US",
            "telephone_number": "563-391-2889",
            "fax_number": "563-391-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135.000811",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "085216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "085216",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "135.000811",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Jackson, LMSW
• Jaclyn Jacobi, OTR/L
• Heather Jacobs, ARNP
• Justice Jacobs, LMT
• Rebekka Jacobs, LMSW
• Jacs PC
• Linda Malizia Jager, M.D.
• James a Corsiglia DCPC
• James T Gimbel DDS PC
• Johnnie Eugene James, MS, LAT, ATC

• Podiatrist in Davenport, IA
• Providers in Davenport, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.