Active NPI
Megan Oliver Jacobson, PA-C
- Medical Physician Assistant
- Brownwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA08054
- Practice address
- 1604 14TH St
Brownwood, TX 76801-5314 - Phone
- (325) 646-5296
- Fax
- (325) 646-5820
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA08054 | TX | |
| Medical Physician Assistant | 363AM0700X | PA08054 | TX | Primary |
| Physician Assistant | 363A00000X | PA08054 | TX |
Addresses
Primary practice location
1604 14TH St
Brownwood, TX 76801-5314
Mailing address
1604 14TH St
Brownwood, TX 76801-5314
Phone (325) 646-5296
Other practice location 1
13830 Sawyer Ranch Rd Ste 102
Dripping Springs, TX 78620-5514
Phone (512) 301-6400
Other practice location 2
701 E Fm 1626 Ste 100
Austin, TX 78748-6075
Phone (512) 777-0884
Other practice location 3
13830 Sawyer Ranch Rd Ste 100
Dripping Springs, TX 78620-5514
Phone (512) 301-6400
Other practice location 4
701 E Fm 1626 Ste 102
Austin, TX 78748-6075
Phone (512) 777-0884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA08054 | Other | TX | STATE |
| 13581476 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1604 14TH St
Brownwood, TX 76801-5314
Phone (817) 508-8169
Hospital & facility affiliations
- Hendrick Medical Center Brownwood
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA08054 | TX | MD | Surgical Physician Assistant |
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Brownwood, TX
- NPI 1841020427
-
- Family Medicine Physician
- Keller, TX
- NPI 1568902799
-
- Family Medicine Physician
- Dripping Springs, TX
- NPI 1174965073
-
- Urgent Care Clinic/Center
- Dripping Springs, TX
- NPI 1083082556
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brownwood, TX
- NPI 1184233785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1992042279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 14TH ST",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015314",
"telephone_number": "325-646-5296",
"fax_number": "325-646-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 14TH ST",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015314",
"telephone_number": "325-646-5296",
"fax_number": "325-646-5820"
}
],
"practiceLocations": [
{
"address_1": "13830 Sawyer Ranch Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Dripping Springs",
"state": "TX",
"postal_code": "786205514",
"country_code": "US",
"telephone_number": "512-301-6400",
"fax_number": "512-301-6401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 E Fm 1626 Ste 100",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787486075",
"country_code": "US",
"telephone_number": "512-777-0884",
"fax_number": "512-777-0933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13830 Sawyer Ranch Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Dripping Springs",
"state": "TX",
"postal_code": "786205514",
"country_code": "US",
"telephone_number": "512-301-6400",
"fax_number": "512-301-6401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 E Fm 1626 Ste 102",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787486075",
"country_code": "US",
"telephone_number": "512-777-0884",
"fax_number": "512-777-0933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSON",
"first_name": "MEGAN",
"middle_name": "OLIVER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA08054",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA08054",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08054",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "PA08054",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13581476",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.