Cory D Jacobs, DC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12171 Issued in MN

Practice address

5435 Feltl Rd
Minnetonka, MN 55343-7983

Phone

(952) 835-9880

Fax

(952) 857-1554

NPI assigned

Jul 3, 2006

Last updated

May 2, 2017By the provider in NPPES

Sex

Male

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 1

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

94.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Physicians Professional Association

  dba Emergency Physicians, P.A.

  • Emergency Medicine Physician
  • Bloomington, MN
  • NPI 1801871934
  Medicare reassignment
• Emergency Physicians Professional Association

  dba The Urgency Room - Golden Valley

  • Urgent Care Clinic/Center
  • Golden Valley, MN
  • NPI 1750188488
  NPD
• Metroeast Chiropractic P.a.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1093746018
  NPD (past)
• Nelson Chiropractic, LTD

  • Chiropractor
  • Burnsville, MN
  • NPI 1730193715
  NPD (past)
• Robinson Consulting Services LLC

  • Professional Counselor
  • Burnsville, MN
  • NPI 1174329163
  NPD (past)
• Thechirospot

  dba The CHIROSPOT Health & Wellness

  • Chiropractor
  • Saint Paul, MN
  • NPI 1194195628
  NPD (past)
• Allied Health of Wisconsin, SC

  dba Allied Health Chiropractic Centers

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1205866894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 FELTL RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553437983",
            "telephone_number": "952-835-9880",
            "fax_number": "952-857-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 FELTL RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553437983",
            "telephone_number": "952-835-9880",
            "fax_number": "952-857-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12171",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205866894",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britney Lavon Jackson
• Jennifer Lynn Jackson
• Naa Okailey Jackson, NP-C
• Prema Padachira Jacob, ANP
• Patricia Jacobs-Mann, ARNP
• Harlie Jo Jacobsen
• Kristine Jacobsen, REGISTERED NURSE
• Stacia Jacobson-Gray, LPCC
• Andrew Jacobson
• Jacquelyn K. Wiersma, PH. D., LP, PLLC

• Physician Assistant in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.