Lucas Jacobsen

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95038901 Issued in CA

Practice address

462 Stevens Ave Ste 206
Solana Beach, CA 92075-2065

Phone

(858) 617-0004

NPI assigned

Jan 13, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lucas Jacobsen Psychiatric Nursing a Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Solana Beach, CA
  • NPI 1790612497
  NPD Authorized official
• Mission Psychiatric Inc.

  • Psychiatry Physician
  • Solana Beach, CA
  • NPI 1326919945
  Medicare reassignment

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1144030925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VIA GALICIA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 STEVENS AVE STE 206",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752065",
            "telephone_number": "858-617-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "461 21st Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372401104",
            "country_code": "US",
            "telephone_number": "615-322-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "LUCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038901",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "39796",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "281472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ioana M Swikard OD a Professional Corporation (Eye Gallery Optometry)
• Sarah Marie Isdaner, PT, DPT
• Jeffrey Alan Iverson, FNP
• Susan Iyican, PH.D.
• Blaine Kenton Jackson, M.D.
• Debra Jedeikin, M.A. LMFT
• Michele Noel Jensen, MFT
• Merle Jimenez, NP
• John D. Hill, M.D., Inc.
• Brenda Roland Johnson, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.