Active NPI
Christopher H Jacobson, ARNP
- Family Nurse Practitioner
- Milford, NH
National Provider Identifier
1760447437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 027125-23
- Practice address
- 10 Jones Rd
Milford, NH 03055-3100 - Phone
- (603) 672-7600
- Fax
- (603) 672-6274
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 027125-23 | NH | Primary |
| Registered Nurse | 163W00000X | 027125-21 | NH |
Addresses
Primary practice location
10 Jones Rd
Milford, NH 03055-3100
Mailing address
74 Pleasant St
Ste 204
New London, NH 03257-5881
Phone (603) 672-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30340359 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027125-21 | NH | MD | Registered Nurse |
| 027125-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1760447437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 PLEASANT ST",
"address_2": "STE 204",
"city": "NEW LONDON",
"state": "NH",
"postal_code": "032575881",
"telephone_number": "603-672-7600",
"fax_number": "603-672-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 JONES RD",
"city": "MILFORD",
"state": "NH",
"postal_code": "030553100",
"telephone_number": "603-672-7600",
"fax_number": "603-672-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "CHRISTOPHER",
"middle_name": "H",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "027125-23",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NH",
"license": "027125-21",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30340359",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.