Nikki Lea Jacobson, APRN, CNM is a medicare enrolled "Advanced Practice Midwife" in Marshall, Minnesota. Her current practice location is
403 N 3rd St, Marshall, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 223-4781.
Nikki Lea Jacobson is licensed to practice in Minnesota (license number 525) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467134056.
Provider's Profile
| Full Name | Nikki Lea Jacobson |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 403 N 3rd St, Marshall, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467134056
- Provider Enumeration Date: 08/02/2023
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830540582
- Enrollment ID: I20240108003806
Medical Identifiers
Medical identifiers for Nikki Lea Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467134056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 525 (Minnesota) | Primary |
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. Nikki Lea Jacobson allows following entities to bill medicare on her behalf.
| Entity Name | Rural Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215317375
PECOS PAC ID: 3476447541
Enrollment ID: O20150710000034 |
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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. Nikki Lea 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 Address | Practice Location Address |
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Nikki Lea Jacobson, APRN, CNM
403 N 3rd St,
Marshall, MN 56258-1401
Ph: (320) 223-4781 | Nikki Lea Jacobson, APRN, CNM
403 N 3rd St,
Marshall, MN 56258-1401
Ph: (320) 223-4781 |
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