Michael Jacobson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD427063 Issued in PA

Practice address

1 Nolte Dr
Kittanning, PA 16201-7111

Phone

(724) 543-8437

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Psychiatry

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acmh Hospital Hospital, Kittanning, PA, CCN 390163

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Glade Run Medical Associates Inc

  • Family Medicine Physician
  • Kittanning, PA
  • NPI 1881820850
  Medicare reassignment Care Compare group NPD
• Glade Run Medical Associates

  • Obstetrics & Gynecology Physician
  • Kittanning, PA
  • NPI 1659693133
  NPD
• Glade Run Medical Associates Inc

  • Gastroenterology Physician
  • Kittanning, PA
  • NPI 1710857776
  NPD
• Armstrong County Memorial Hospital

  dba Acmh Hospital Psychiatric

  • Psychiatric Hospital Unit
  • Kittanning, PA
  • NPI 1851467765
  NPD (past)

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

• Armstrong County Memorial Hospital

  dba Armstrong Primary Care Center - West Hills

  • Rural Health Clinic/Center
  • Kittanning, PA
  • NPI 1235582552

  Hospital

  Care Compare affiliation
• Armstrong County Memorial Hospital

  dba Acmh Hospital

  • Ambulatory Surgical Clinic/Center
  • Kittanning, PA
  • NPI 1457408973

  Hospital

  Care Compare affiliation
• Armstrong County Memorial Hospital

  dba Acmh Hospital - Acmh Wound Center & Acmh Concussion

  • General Acute Care Hospital
  • Kittanning, PA
  • NPI 1568577724
  Care Compare affiliation
• Armstrong County Memorial Hospital

  dba ACMH Rheumatology

  • Rheumatology Physician
  • Kittanning, PA
  • NPI 1730945833

  Hospital

  Care Compare affiliation
• Armstrong County Memorial Hospital

  dba Acmh Pulmonary

  • Specialist
  • Kittanning, PA
  • NPI 1801487822

  Hospital

  Care Compare affiliation
• Armstrong County Memorial Hospital

  dba Acmh Hospital

  • Rehabilitation Hospital Unit
  • Kittanning, PA
  • NPI 1811044340
  Care Compare affiliation
• Armstrong County Memorial Hospital

  dba ACMH Neurology

  • Neurology Physician
  • Kittanning, PA
  • NPI 1922624584

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1891884185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-543-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-543-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD427063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Huselton Huth, CRNP
• Sara Imbrogno, LSW
• Independence Armstrong LLC (Armstrong Rehabilitation and Nursing Center)
• Integrated Practitioners Center Inc
• Sarah Jacobs, PT
• James E. Meehan O.D.
• Jamie S Bonatch LLC (Professional Hearing Aid Service)
• John Opalka OD & Associates, LLC (Professional Contact Lens Center)
• Sheri Ann Jones, LPN
• Alexa Stephanie Jordahl, MD

• Psychiatry Physician in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.