Steven Jacobson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26986 Issued in WA

Practice address

401 2ND St
Snohomish, WA 98290-3008

Phone

(360) 563-8600

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bethany Home Health LLC

  • Home Health Agency
  • Everett, WA
  • NPI 1285202994

  Corporate Director

  CMS ownership
• Bethany Hospice, LLC

  • Community Based Hospice Care Agency
  • Everett, WA
  • NPI 1760364095

  Corporate Director

  CMS ownership
• Bethany of the Northwest

  • Skilled Nursing Facility
  • Everett, WA
  • NPI 1003879800

  Corporate Director

  CMS ownership
• Bethany of the Northwest

  • Skilled Nursing Facility
  • Everett, WA
  • NPI 1497884043

  Corporate Director

  CMS ownership
• Everett Transitional Care Services

  • Skilled Nursing Facility
  • Everett, WA
  • NPI 1477641249

  Corporate Director

  CMS ownership

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.

• Optum Care Washington PLLC

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1831186766

  Family Medicine

  Medicare reassignment NPD
• Optum Care Washington PLLC

  • Durable Medical Equipment & Medical Supplies
  • Marysville, WA
  • NPI 1194428425

  Family Medicine

  NPD

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1326013103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-258-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 2ND ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982903008",
            "telephone_number": "360-563-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "26986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007665",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J.B. Gwak, DDS, PLLC
• Jacob Sung, DDS, PLLC
• Skosh Jacobsen, M.A.
• Courtney Anne Jacobson, MSN, ARNP, AGNP-C
• Kristen Elizabeth Jacobson, LCSW
• James to I DMD PS
• Jean Kammer, LMHC PLLC
• Susan K Jelmberg Jones
• Kathi Marie Jermulowske, C.O.T.A.
• David Walter Jespersen, MS, LMHC

• Family Medicine Physician in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.