NPIMap

Individual provider Active NPI

Kase Allen Jacobs

  • Family Nurse Practitioner
  • Dawson, MN
National Provider Identifier
1336857655
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9955 Issued in MN
Practice address
1282 Walnut St
Dawson, MN 56232-2333
Phone
(320) 769-4323
NPI assigned
Nov 7, 2022
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9955 MN Primary

Addresses

Primary practice location

1282 Walnut St
Dawson, MN 56232-2333

Mailing address

1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323

Other practice location 1

112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230316000692 MN Practitioner - Nurse Practitioner 1759755689 Reassigns benefits to 4 organizations
I20230802002692 SD Practitioner - Nurse Practitioner 1759755689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Johnson Memorial Health ServicesGroup PAC ID 5395653836, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277

1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9955MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Johnson Memorial Health Services Current Accepting new patients
Johnson Memorial Health Services CurrentSince Jan 30, 2025 Accepting new patients
Sanford Health Network CurrentSince Mar 13, 2023 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Jun 30, 2023 Accepting new patients
Johnson Memorial Health Services Current Accepting new patients
Sanford Health Network CurrentSince Mar 13, 2023 Accepting new patients
Sanford Health Network Current Accepting new patients
Johnson Memorial Health Services CurrentSince Jan 30, 2025 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

Interoperability endpoints

  • Direct secure messaging: kjacobs848717@direct.centracare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1336857655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 WALNUT ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322333",
            "telephone_number": "320-769-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 WALNUT ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322333",
            "telephone_number": "320-769-4323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Saint Olaf Ave S",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "MN",
            "postal_code": "562201433",
            "country_code": "US",
            "telephone_number": "507-223-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KASE",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawson, MN

Sources for this page

Verify at the official NPI Registry.