Patricia A Jacobson, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

992 Issued in WI

Practice address

502 Main St
Black River Falls, WI 54615-1648

Phone

(715) 284-2003

Fax

(715) 284-2008

NPI assigned

Jul 10, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patricia.jacobson@kcld.eclinicaldirectplus.com

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.

• East Fountain Chiropractic LLC

  • Chiropractor
  • Greenwood, WI
  • NPI 1164931473
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1689608010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151648",
            "telephone_number": "715-284-2003",
            "fax_number": "715-284-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151648",
            "telephone_number": "715-284-2003",
            "fax_number": "715-284-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43899100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson County Dept. of Health & Human Services
• Jackson County Public Health
• Jackson Pine View Healthcare, LLC
• Danielle B Jacobs, LCSW
• Dawn Cynthia Jacobson, MA, ATC, NASM-CES
• Serena Jahnke-Berg
• Gaurav Jain, DDS
• Ashley Virginia Ann Jakel, MSW, LCSW, SAC-IT
• Carol Ann Jarrett
• Jessica Elizabeth Jennings, R.D.

• Family Nurse Practitioner in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.