Cory J Jacobsen, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

0101276392 Issued in VA

Practice address

57950 Leavenworth St
McConnell AFB, KS 67221-3505

Phone

(316) 759-6300

NPI assigned

Apr 7, 2021

Last updated

Nov 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1457930265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST BLDG 250",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213505",
            "telephone_number": "316-759-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213505",
            "telephone_number": "316-759-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "CORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101276392",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101276392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Hayes, RN
• Cory Ryan Henderson, PA-C
• Loralie Ellington Hodges, O.D.
• Dorothy A Hogg, WHCNP
• Ty Hunt, MPT
• Samone James, SW
• Timothy Edward Jankowski, DDS
• Laura Johnstad, DNP, FNP-C, WHNP-BC
• Kathryn Rachel Kocher, M.D.
• Aaron Thomas Krance, D.M.D.

• Aerospace Medicine Physician in McConnell AFB, KS
• Providers in McConnell AFB, KS by specialty
• Aerospace Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.