Active NPI
Bill Jacobsen, M.D.
- Neurology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 56864
- Practice address
- 908 Syracuse St
Denver, CO 80230-7073 - Phone
- (402) 415-6367
- NPI assigned
- May 8, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 56864 | AZ | Primary |
| Neurology Physician | 2084N0400X | R74672 | AZ | |
| Neurology Physician | 2084N0400X | ME158475 | FL | |
| Neurology Physician | 2084N0400X | CDRH.0001875 | CO |
Addresses
Primary practice location
908 Syracuse St
Denver, CO 80230-7073
Mailing address
240 W Thomas Rd Ste 301
Phoenix, AZ 85013-4407
Phone (602) 406-6262
Other practice location 1
777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA, MO, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Creighton University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
908 Syracuse St
Denver, CO 80230-7073
Phone (888) 464-2466
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56864 | AZ | MD | Neurology Physician |
| R74672 | AZ | MD | Neurology Physician |
| CDRH.0001875 | CO | MD | Neurology Physician |
| ME158475 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Family Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Family Medicine | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| American Neuromonitoring Associates, PC | Neurology | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
777 Bannock St
Denver, CO 80204
10275 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (734) 545-4420
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
Interoperability endpoints
- bjacobsen962728@direct.unitypoint.org
Organizations & group practices 13
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1326033929
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
Family Medicine
-
- Clinic/Center
- Jackson, MO
- NPI 1992502975
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1760893069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W THOMAS RD STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134407",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 SYRACUSE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802307073",
"telephone_number": "402-415-6367"
}
],
"practiceLocations": [
{
"address_1": "777 Bannock St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802044597",
"country_code": "US",
"telephone_number": "303-436-4949",
"fax_number": "303-602-6190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSEN",
"first_name": "BILL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-08",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "56864",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "R74672",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME158475",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "CDRH.0001875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.