Kristina Jacobsen, CNP, RN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13374 Issued in MN

Practice address

2303 Wycliff St Ste 313
Saint Paul, MN 55114-1278

Phone

(651) 401-6677

Fax

(651) 401-6677

NPI assigned

Aug 27, 2024

Sex

Female

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 MN

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

Credentials

Certified Nurse Practitioner, Registered Nurse

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.

• Hybrid Behavioral Health

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1477934438
  Medicare reassignment NPD
• Calm Harbor Behavioral Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Rapids, MN
  • NPI 1205778719
  NPD Authorized official

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1194559773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 WYCLIFF ST STE 313",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141278",
            "telephone_number": "651-401-6677",
            "fax_number": "651-401-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 WYCLIFF ST STE 313",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141278",
            "telephone_number": "651-401-6677",
            "fax_number": "651-401-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "KRISTINA",
        "credential": "CNP, RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "13374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jacobs, RPH
• Megan Jacobs, LICSW
• Nina Jacobs, MPH, RD, LD
• F Stig Jacobsen, MD
• Iida Jacobsen
• Emily Jacobsma
• Shelley Ann Jacobsma, R.N.
• Jacobson Woodworking & Remodeling LLC
• Amy Jacobson, PHN
• Carmen Jean Jacobson, P.A.-C

• Psychiatric/Mental Health Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.