Jamie Mulanax Jacobsen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0537969 Issued in KS

Practice address

11400 158TH Rd
Mayetta, KS 66509-8866

Phone

(785) 966-8200

Fax

(785) 966-8393

NPI assigned

Feb 17, 2006

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Jamie Lynn Mulanax Former name

Medicare fee-for-service enrollment

Enrolled in KS, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Resources of Jackson Co IncGroup PAC ID 7810807690, shared by 8 NPIs, 27 clinicians

Prairie Band Potawatomi NationGroup PAC ID 7719921907, 5 clinicians

Emergency Services of Kansas PAGroup PAC ID 2062683808, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Topeka, KS, CCN 177242
• Midland Care Home Health Home health agency, Topeka, KS, CCN 178090
• Holton Community Hospital Hospital, Holton, KS, CCN 171319
• University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016
• Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamie.jacobsen.1@16424.direct.athenahealth.com
• Direct secure messaging: jjacobsen191223@ahs.direct-ci.com

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.

• Prairie Band Potawatomi Nation

  dba Prairie Band Potawatomi Health Center

  • Federally Qualified Health Center (FQHC)
  • Mayetta, KS
  • NPI 1245266410
  Medicare reassignment Care Compare group NPD
• Emergency Services of Kansas, P.a.

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1023397098

  KS

  Medicare reassignment Care Compare group NPD
• Newman Memorial County Hospital

  dba Newman Regional Health

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Medicare reassignment NPD
• Rural Health Resources of Jackson Co Inc

  dba Holton Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Holton, KS
  • NPI 1114949120
  Medicare reassignment NPD
• Rural Health Resources of Jackson Co Inc

  dba Holton Community Hospital

  • Critical Access Hospital
  • Holton, KS
  • NPI 1902805716
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Kansas, LLC

  • Emergency Medicine Physician
  • Manhattan, KS
  • NPI 1831689934
  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Rural Health Resources of Jackson Co Inc

  • Multi-Specialty Clinic/Center
  • Holton, KS
  • NPI 1235238296
  Medicare reassignment
• Prairie Band Potawatomi Nation

  dba Potawatomi Tribal Fire Department

  • Land Ambulance
  • Mayetta, KS
  • NPI 1174577738
  NPD
• Rural Health Resources of Jackson Co Inc

  dba Family Practice Associates

  • Rural Health Clinic/Center
  • Wetmore, KS
  • NPI 1003152430
  NPD
• Kickapoo Nation Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Horton, KS
  • NPI 1801058748
  NPD (past)
• Integris Rural Health Inc

  dba Urgent Care Plus

  • Family Medicine Physician
  • Enid, OK
  • NPI 1467454991
  NPD (past)

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

• Caregivers, Inc.

  dba Elara Caring

  • Home Health Agency
  • Topeka, KS
  • NPI 1851335129
  Care Compare affiliation
• Midland Care Connection, Inc.

  dba Midland Care Home Health

  • Home Health Agency
  • Topeka, KS
  • NPI 1871985689
  Care Compare affiliation
• Midland Care Connection, Inc.

  dba Midland Hospice Care

  • Community Based Hospice Care Agency
  • Topeka, KS
  • NPI 1962441378

  Home health agency

  Care Compare affiliation
• Rural Health Resources of Jackson Co Inc

  dba Holton Community Hospital

  • Critical Access Hospital
  • Holton, KS
  • NPI 1902805716
  Care Compare affiliation
• Stormont-Vail Healthcare Inc

  dba Stormont Vail Hospital

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1194782409
  Care Compare affiliation
• Topeka Hospital, LLC

  dba The University of Kansas Health System, St. Francis Campus

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1912423260
  Care Compare affiliation

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1669447330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 158TH RD",
            "city": "MAYETTA",
            "state": "KS",
            "postal_code": "665098866",
            "telephone_number": "785-966-8200",
            "fax_number": "785-966-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 158TH RD",
            "city": "MAYETTA",
            "state": "KS",
            "postal_code": "665098866",
            "telephone_number": "785-966-8200",
            "fax_number": "785-966-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Goldfinch Rd",
            "address_purpose": "LOCATION",
            "city": "Horton",
            "state": "KS",
            "postal_code": "664399537",
            "country_code": "US",
            "telephone_number": "785-486-2154",
            "fax_number": "785-486-2158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "JAMIE",
        "middle_name": "MULANAX",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105010",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "5231",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-37969",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0537969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0105010",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0537969",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MULANAX",
            "middle_name": "LYNN",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abra Friess, APRN
• Randy J German, D.D.S.
• Lura Danielle Goff, RN
• Brendan Michael Handy, PHARMD
• Independent Anesthesia Services, LLC
• Cindy Kelly, LMSW
• Jessica Kombat
• Joshua Harry Langi, LMSW
• Toby Edward Leavendusky, RN, BSN
• Andrea Michelle Lebeau, LMSW

• Family Medicine Physician in Mayetta, KS
• Providers in Mayetta, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.