Kevin S Jacobson, NP - Medicare Nurse Practitioner in Cooperstown, ND

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Kevin S Jacobson, NP is a medicare enrolled "Nurse Practitioner" in Cooperstown, North Dakota. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Oakes Community Hospital, Graceville Health Center and his current practice location is 1200 Roberts Ave Ne, Cooperstown Medical Center, Cooperstown, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 797-2128.

Kevin S Jacobson is licensed to practice in North Dakota (license number R27650) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528093077.

Contact Information

Kevin S Jacobson, NP
1200 Roberts Ave Ne, Cooperstown Medical Center,
Cooperstown, ND 58425-7101
(701) 797-2128
Not Available

Map and Direction




Provider's Profile

Full NameKevin S Jacobson
GenderMale
SpecialityNurse Practitioner
Experience24 Years
Location1200 Roberts Ave Ne, Cooperstown, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin S Jacobson graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1528093077
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 05/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7315043650
  • Enrollment ID: I20190422000635

Medical Identifiers

Medical identifiers for Kevin S Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528093077NPI-NPPES
19682MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R1561072 (Minnesota)Secondary
363L00000XNurse Practitioner R27650 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Oakes Community HospitalOakes, NDHospital
Holy Trinity Hospital & Grace HomeGraceville, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oakes Community Hospital367848472211
Graceville Health Center43855568855

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin S Jacobson allows following entities to bill medicare on his behalf.
Entity NameGraceville Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982673620
PECOS PAC ID: 4385556885
Enrollment ID: O20031103000694
Entity NameFirst Care Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073638565
PECOS PAC ID: 3678542842
Enrollment ID: O20040927000035
Entity NameBridges Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366886186
PECOS PAC ID: 4981659851
Enrollment ID: O20050809000114

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin S Jacobson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin S Jacobson, NP
1200 Roberts Ave Ne, Cooperstown Medical Center,
Cooperstown, ND 58425-7101

Ph: (701) 797-2128		Kevin S Jacobson, NP
1200 Roberts Ave Ne, Cooperstown Medical Center,
Cooperstown, ND 58425-7101

Ph: (701) 797-2128

Reviews and Comments


Nurse Practitioner Nurses in Cooperstown, ND

Dr. Amanda Leigh Perry, DNP, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 665 112th Ave Ne, Cooperstown, ND 58425
Phone: 601-870-0774    Fax: 701-797-3328
Mrs. Kristine Louise Martin, APRN-CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 107 12th St S, Cooperstown, ND 58425
Phone: 701-786-1700    
Debra L. Middleton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Roberts Ave Ne, Cooperstown, ND 58425
Phone: 701-797-2221    Fax: 701-797-2457
Daniel Hagerty, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 813 Burrel Ave Nw, Cooperstown, ND 58425
Phone: 541-373-7465    
Mr. Norman Leo Berthiaume, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Roberts Ave Ne, Cooperstown, ND 58425
Phone: 701-797-2221    Fax: 701-797-2457
Kathleen Marjorie Rogan, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 Roberts Ave Ne, Cooperstown, ND 58425
Phone: 701-786-1700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.