Individual provider Active NPI

Sig-Linda Jacobson, M.D.

  • Maternal & Fetal Medicine Physician
  • Portland, OR
National Provider Identifier
1033291323
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
01074807A Issued in IN
Practice address
5006 SW Martha St
Portland, OR 97221-1835
Phone
(503) 806-7854
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 258455 NY
Maternal & Fetal Medicine Physician 207VM0101X 01074807A IN Primary
Maternal & Fetal Medicine Physician 207VM0101X 00047437 WA
Maternal & Fetal Medicine Physician 207VM0101X M-11174 ID
Maternal & Fetal Medicine Physician 207VM0101X 27129 NE
Maternal & Fetal Medicine Physician 207VM0101X 68921 GA
Maternal & Fetal Medicine Physician 207VM0101X 7805936-1205 UT
Maternal & Fetal Medicine Physician 207VM0101X 16723 HI
Maternal & Fetal Medicine Physician 207VM0101X 2011011924 MO
Maternal & Fetal Medicine Physician 207VM0101X MD15777 OR

Addresses

Primary practice location

5006 SW Martha St
Portland, OR 97221-1835

Mailing address

5006 SW Martha St
Portland, OR 97221-1835
Phone (503) 806-7854

Other practice location 1

11123 Parkview Plaza Dr Ste 205
Fort Wayne, IN 46845-1707
Phone (260) 425-6650

Other practice location 2

900 N Liberty St Ste 206
Boise, ID 83704-8729
Phone (208) 302-1100

Other identifiers 9

IdentifierTypeStateIssuer
0085221MedicaidMT
160055377OtherORRAILROAD MEDICARE
MD2637RMedicaidAK
027094MedicaidOR
300050370MedicaidIN
IN1776461OtherINMCR
807008800MedicaidID
8201691MedicaidWA
93125743797239E020OtherORTRIWEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629002913 IN Practitioner - Obstetrics/Gynecology 5698869980 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68921GAMDMaternal & Fetal Medicine Physician
16723HIMDMaternal & Fetal Medicine Physician
2011011924MOMDMaternal & Fetal Medicine Physician
27129NEMDMaternal & Fetal Medicine Physician
258455NYMDMaternal & Fetal Medicine Physician
MD15777ORMDMaternal & Fetal Medicine Physician
7805936-1205UTMDMaternal & Fetal Medicine Physician
00047437WAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jul 9, 2023 Accepting new patients
St Vincent Pediatric Subspecialties Maternal & Fetal Medicine CurrentSince Dec 13, 2021 Accepting new patients
Parkview Health System, Inc. CurrentSince Apr 5, 2023 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Apr 12, 2021 Accepting new patients
Parkview Health System Inc Current Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Dec 13, 2021 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jul 9, 2023 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Apr 12, 2021 Accepting new patients

Locations

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3700 Washington Ave
#1100
Evansville, IN 47714
Phone (812) 471-0045

3700 Washington Ave
Ste 1100
Evansville, IN 47714
Phone (812) 469-8170

11123 Parkview Plaza Dr
Ste 205
Fort Wayne, IN 46845
Phone (260) 425-6650

11123 Parkview Plaza Dr
Ste 203
Fort Wayne, IN 46845
Phone (260) 266-8380

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

2705 N Lebanon St
Ste 405
Lebanon, IN 46052
Phone (765) 485-8444

Interoperability endpoints

  • Direct secure messaging: sig-linda.jacobson.1@8478.direct.athenahealth.com
  • Direct secure messaging: sig-linda.jacobson.2@7598.direct.athenahealth.com
  • Direct secure messaging: sjacobson1563091@direct.trinity-health.org
  • Direct secure messaging: sjacobson486984@direct.parkviewexchange.com
  • Direct secure messaging: sig-linda.jacobson.3@7598.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
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    "number": "1033291323",
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        {
            "country_code": "US",
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            "address_purpose": "MAILING",
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            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211835",
            "telephone_number": "503-806-7854"
        },
        {
            "country_code": "US",
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        }
    ],
    "practiceLocations": [
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            "postal_code": "468451707",
            "country_code": "US",
            "telephone_number": "260-425-6650",
            "fax_number": "260-672-6519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Liberty St Ste 206",
            "address_purpose": "LOCATION",
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            "state": "ID",
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            "fax_number": "208-302-1155",
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        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "SIG-LINDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
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        {
            "code": "207VM0101X",
            "taxonomy_group": "",
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            "state": "WA",
            "license": "00047437",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
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            "license": "M-11174",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
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            "state": "NE",
            "license": "27129",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
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            "state": "GA",
            "license": "68921",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
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        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
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            "license": "16723",
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        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
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            "state": "MO",
            "license": "2011011924",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD15777",
            "primary": false
        }
    ],
    "identifiers": [
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085221",
            "state": "MT"
        },
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            "issuer": "RAILROAD MEDICARE",
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            "issuer": "MCR",
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        {
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            "identifier": "807008800",
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            "identifier": "8201691",
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        {
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            "issuer": "TRIWEST",
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.