Chaim G Jacobson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP5395 Issued in AZ

Practice address

10707 W Camelback Rd
Phoenix, AZ 85037-5073

Phone

(480) 213-4552

NPI assigned

Jan 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeline Hospitalist Associates LLCGroup PAC ID 3577961606, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assisteo Home Health Home health agency, Phoenix, AZ, CCN 037262
• Haven of Scottsdale Nursing home, Scottsdale, AZ, CCN 035059
• Heritage Court Post Acute of Scottsdale Nursing home, Scottsdale, AZ, CCN 035083

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JADCCA

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.

• Lifeline Hospitalist Associates LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1265107478
  Medicare reassignment Care Compare group NPD
• Family First Physicians PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649225178
  Medicare reassignment NPD
• Echo Canyon Healthcare, Inc.

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1467832402
  NPD (past)
• Haven of Scottsdale, LLC

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1043678626
  NPD (past)

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

• Azhomehealth LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1568639557
  Care Compare affiliation
• Echo Canyon Healthcare, Inc.

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1467832402

  Nursing home

  Care Compare affiliation
• Haven of Scottsdale, LLC

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1043678626

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1396168787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E MILADA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427953",
            "telephone_number": "480-213-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375073",
            "telephone_number": "480-213-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "CHAIM",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa E Jacobsen, PMHNP
• William M Jacobsen, MD
• Jacobson Chiropractic PLLC
• Albert Dale Jacobson, M.D.
• Amy Michelle Jacobson, FNP
• Donald Eugene Joseph Jacobson Jr.
• Douglas John Jacobson, MD
• Julia Jacobson
• Kevin Jacobson
• Michael Andrew Jacobson, D.C.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.