Peggy Elene Jacobsen, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

1927543102 Issued in UT

Practice address

195 W 7200 S
Midvale, UT 84047-3703

Phone

(801) 565-6900

Fax

(801) 569-0899

NPI assigned

Jan 26, 2006

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

Other identifiers 3

Other names 1

• Mrs. Peggy Gambee Jacobsen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356311781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7454 S 2405 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843114",
            "telephone_number": "801-563-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473703",
            "telephone_number": "801-565-6900",
            "fax_number": "801-569-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "PEGGY",
        "middle_name": "ELENE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "UT",
            "license": "1927543102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "942938348014",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "751659",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMTN. HEALTH CARE",
            "identifier": "107032218101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "JACOBSEN",
            "middle_name": "GAMBEE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Integral Rehabilitation, LLC
• Interactive Medical Systems Inc
• Intermountain Home Health Inc. (FirstMED DME)
• Intune Therapy & Wellness
• Elin Isakson
• Alexis James
• Jamstan P C (Presley Orthodontics Family & Cosmetic Dentistry)
• Janus RX LLC
• Jenco Medical, Inc. (Utah Prosthetics and Orthotics)
• Jenco Prosthetics & Orthotics, LLC

• Psychiatric/Mental Health Registered Nurse in Midvale, UT
• Providers in Midvale, UT by specialty
• Psychiatric/Mental Health Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.