Individual provider Active NPI

Bill Jacobsen, M.D.

  • Neurology Physician
  • Denver, CO
National Provider Identifier
1760893069
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
56864 Issued in AZ
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

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20221102003180 CO Practitioner - NeurologyPractitioner - Psychiatry 8820419179 Reassigns benefits to 2 organizations
I20230217002555 CA Practitioner - Neurology 8820419179 Reassigns benefits to 3 organizations
I20230624000108 MO Practitioner - Neurology 8820419179 Reassigns benefits to 1 organization
I20240416002253 MN Practitioner - Neurology 8820419179

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
American Neuromonitoring Associates, PCGroup PAC ID 8022019710, 30 clinicians

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

LicenseStateTypeSpecialty
56864AZMDNeurology Physician
R74672AZMDNeurology Physician
CDRH.0001875COMDNeurology Physician
ME158475FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Family Medicine CurrentSince Jun 21, 2023 Accepting new patients
County of Santa Clara CurrentSince Feb 9, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
County of Santa Clara CurrentSince Feb 9, 2023 Accepting new patients
County of Santa Clara CurrentSince Feb 9, 2023 Accepting new patients
County of Santa Clara CurrentSince Feb 9, 2023 Accepting new patients
County of Santa Clara Family Medicine Current Accepting new patients
Saint Francis Medical Center CurrentSince Jun 21, 2023 Accepting new patients
American Neuromonitoring Associates, PC Neurology CurrentSince Feb 1, 2025 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
County of Santa Clara Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 1, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 1, 2022 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.