Individual provider Active NPI

Jacob Allen Robinson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1538704085
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10568 Issued in MN
Practice address
2901 E 25TH St
Minneapolis, MN 55406-2999
Phone
(313) 409-1252
Fax
(612) 682-8548
NPI assigned
Nov 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10568 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10568 MN Primary

Addresses

Primary practice location

2901 E 25TH St
Minneapolis, MN 55406-2999

Mailing address

2901 E 25TH St
Minneapolis, MN 55406-2999
Phone (313) 409-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20240528000070 MN Practitioner - Nurse Practitioner 1153754866 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10568MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Psychiatric/Mental Health CurrentSince May 13, 2024 Accepting new patients
Brainstorm Behavioral Services L.L.C. Psychiatric/Mental Health CurrentSince Apr 27, 2025 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Nov 1, 2019 Accepting new patients
West Central Counseling LLC PastSince Jun 6, 2021 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

2270 Ford Pkwy
Saint Paul, MN 55116
Phone (651) 696-5000

2270 Ford Pkwy
Ste 106
Saint Paul, MN 55116
Phone (651) 724-9411

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1538704085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E 25TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062999",
            "telephone_number": "313-409-1252",
            "fax_number": "612-682-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E 25TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062999",
            "telephone_number": "313-409-1252",
            "fax_number": "612-682-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JACOB",
        "middle_name": "ALLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10568",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.