Courtney Anne Jacobson, MSN, ARNP, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP61535543 Issued in WA

Practice address

5807 121St St SE
Snohomish, WA 98296-6977

Phone

(425) 765-5903

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

Yes

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 WA

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 1

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Novari Primary Care LLCGroup PAC ID 3476815051, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alpha Home Health Home health agency, Everett, WA, CCN 507107
• Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
• Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
• Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
• Centerwell Home Health Home health agency, Everett, WA, CCN 507071

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Novari Primary Care LLC

  • Nurse Practitioner
  • Mukilteo, WA
  • NPI 1598272155
  Medicare reassignment Care Compare group NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  WA

  Medicare reassignment NPD

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

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Everett, WA
  • NPI 1538198817
  Care Compare affiliation
• CP Snohomish County Wa, LLC

  • Home Health Agency
  • Everett, WA
  • NPI 1720800857
  Care Compare affiliation
• Glacier Peak Healthcare, Inc.

  • Home Health Agency
  • Everett, WA
  • NPI 1518482215
  Care Compare affiliation
• King County Public Hospital District No. 2

  • Home Health Agency
  • Kirkland, WA
  • NPI 1588662761
  Care Compare affiliation
• LHCG Lxiii, LLC

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1770998528
  Care Compare affiliation

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1104684893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 121ST ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966977",
            "telephone_number": "425-765-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 121ST ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966977",
            "telephone_number": "425-765-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "credential": "MSN, ARNP, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61535543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Ipsen, PHARMD
• Lily Isaacson, LAC, EAMP
• J.B. Gwak, DDS, PLLC
• Jacob Sung, DDS, PLLC
• Skosh Jacobsen, M.A.
• Kristen Elizabeth Jacobson, LCSW
• Steven Jacobson, MD
• James to I DMD PS
• Jean Kammer, LMHC PLLC
• Susan K Jelmberg Jones

• Primary Care Nurse Practitioner in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Primary Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.