Nikki Lea Jacobson, APRN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

525 Issued in MN

Practice address

403 N 3Rd St
Marshall, MN 56258-1401

Phone

(320) 223-4781

NPI assigned

Aug 2, 2023

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 names 1

• Nikki Lea Cheeseman Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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 and National Provider Directory roles.

• Rural Health Care, Inc

  dba Access Health Worthington

  • Federally Qualified Health Center (FQHC)
  • Worthington, MN
  • NPI 1215317375

  Advanced Practice Midwife

  Medicare reassignment Care Compare group NPD
• Avera Granite Falls

  dba Avera Granite Falls Health Center

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1700429610
  Medicare reassignment NPD
• Avera Granite Falls

  dba Avera Medical Group Granite Falls

  • Family Medicine Physician
  • Granite Falls, MN
  • NPI 1700429644
  Medicare reassignment NPD
• Rural Health Care, Inc

  dba Access Health Marshall

  • Federally Qualified Health Center (FQHC)
  • Marshall, MN
  • NPI 1740944602
  NPD
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  NPD (past)
• Avera Marshall

  dba Avera Marshall Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1962641936
  NPD (past)

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

• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Care Compare affiliation

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1467134056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N 3RD ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581401",
            "telephone_number": "320-223-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N 3RD ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581401",
            "telephone_number": "320-223-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "NIKKI",
        "middle_name": "LEA",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "CHEESEMAN",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Advanced Practice Midwife in Marshall, MN
• Providers in Marshall, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.