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Active NPI 1528093077 Individual Practitioner Male Practitioner

Kevin S Jacobson , NP

Nurse Practitioner • Cooperstown, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kevin Jacobson, NP is a certified Nurse Practitioner practicing in Cooperstown, ND. With approximately 26 years of clinical experience since completing medical education in 2000, Kevin Jacobson delivers high-quality medical care to the local community at 1200 ROBERTS AVE NE.

Kevin Jacobson is affiliated with Oakes Community Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1200 Roberts Ave Ne
Cooperstown Medical Center

Cooperstown, ND 584257101

Telephone 7017972128
Associated Practice Facility / Clinic
🏢 Cooperstown Medical Center Facility NPI 1285726067

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cooperstown, ND

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs Matches City Avg
City Avg: 26.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Cooperstown, ND (468 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobson (26 Years) 26 Yrs
Cooperstown Specialty Average (26.0 Years) 26.0 Yrs

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ND R27650

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MN R1561072

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
19682 (ND)

Hospital & Practice Group Affiliations

Oakes Community Hospital

1200 N 7 St, Oakes, ND 584742502

Phone: 7017423600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Brooke Fredrickson , LRD, CSG

Dietitian, Registered

NPI 1053645317
Debra Middleton , FNP

Nurse Practitioner - Family

NPI 1427073188

Family Nurse Practitioner

Norman Berthiaume , FNP-C

Nurse Practitioner - Primary Care

NPI 1770691651

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 23, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2012

Registered at 1200 ROBERTS AVE NE, COOPERSTOWN MEDICAL CENTER, COOPERSTOWN, ND 584257101 (Tel: 7017972128)

📍
Updated Business Mailing Address May 23, 2012

Registered at 1200 ROBERTS AVE NE, COOPERSTOWN MEDICAL CENTER, COOPERSTOWN, ND 584257101 (Tel: 7017972128)

👤
Provider Name / Credentials Updated May 23, 2012

Recorded as KEVIN JACOBSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2012

Nurse Practitioner (License #R27650 in ND)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528093077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: May 23, 2012
Sole Proprietor: No

Mailing Address

1200 Roberts Ave Ne, Cooperstown Medical Center

Cooperstown, ND 584257101

Phone: 7017972128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.