Lynne Marie Jacobson, DNP, PMHNP, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP10040 Issued in CO

Practice address

8745 County Road 9 S
Alamosa, CO 81101-9610

Phone

(719) 589-3671

NPI assigned

Jun 18, 2009

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in CO, KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Luis Valley Community Mental Health Center, Inc.Group PAC ID 0345267779, 34 clinicians

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

• San Luis Valley Community Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamosa, CO
  • NPI 1467289280
  Medicare reassignment Care Compare group NPD
• Forefront-Rosenzweig Medical Services Professional Corporation

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1588101745

  KS

  Medicare reassignment NPD
• San Luis Valley Community Mental Health Center

  dba San Luis Valley Behavioral Health Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamosa, CO
  • NPI 1063406999
  NPD
• San Luis Valley Community Mental Health Center, Inc.

  dba San Luis Valley Behavioral Health Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamosa, CO
  • NPI 1891522645
  NPD
• San Luis Valley Community Mental Health Center, Inc.

  dba San Luis Valley Behavioral Health Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamosa, CO
  • NPI 1871320622
  NPD (past)
• San Luis Valley Community Mental Health Center, Inc.

  dba San Luis Valley Behavioral Health Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamosa, CO
  • NPI 1962239715
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1336376128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 COUNTY ROAD 9 S",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019610",
            "telephone_number": "719-589-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 COUNTY ROAD 9 S",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019610",
            "telephone_number": "719-589-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 S Grape St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225210",
            "country_code": "US",
            "telephone_number": "303-847-4475",
            "fax_number": "303-256-0548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "NP10040",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "107198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "107198",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32658044",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrith Ibarra
• In the Flow Counseling, LLC
• Innova Emergency Medical Associates PC
• Darrell G. Jackson, D.D.S.
• Morgan Jackson
• Shanese Jaramillo
• Melanie Jarvis, PT, DPT
• Kevin Jenkins
• Sarah Jennings
• Jerry P Archuleta Sanluis Pharmacy LLC (San Luis Valley Pharmacy LLC)

• Nurse Practitioner in Alamosa, CO
• Providers in Alamosa, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.