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THOMAS E JACOBSEN MD
NPI 1053405662
Family Medicine in Hettinger, ND

Active since October 03, 2006PECOS Enrolled
1000 HIGHWAY 12, HETTINGER, ND 58639(701) 567-4561 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas E Jacobsen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS E JACOBSEN MD (NPI 1053405662) is an individual family medicine provider in Hettinger, North Dakota, licensed in North Dakota (2916) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053405662
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS E JACOBSENCredential: MD
Location Address1000 HIGHWAY 12Hettinger, ND 58639
Mailing Address1100 Highway 12Hettinger, ND 58639-7533 · (701) 567-6130
Phone(701) 567-4561
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053405662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ND · 2916
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 HIGHWAY 12, Hettinger, ND 58639
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Other Identifiers 10

Medicare UPIND25976
Medicare ID-Type Unspecified80099100Travelers Medicare
Medicaid7774910SD
Medicaid12564ND
Medicaid3018140WA
Other10775Nd Bc/bs
Other20818Sioux Valley
Medicare ID-Type Unspecified10775
Other123993Workers Comp
Medicaid45034068812NE

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas E Jacobsen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58639 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE E SHIREK MD
Family Medicine
1000 HIGHWAY 12
HETTINGER, ND 58639
Adams County (701) 567-4561
WILLIAM C ELDER M.D.
Surgery
1000 HIGHWAY 12
HETTINGER, ND 58639
Adams County (701) 567-4561
COURTNEY HULM
Registered Nurse
1000 HIGHWAY 12
HETTINGER, ND 58639
Adams County (701) 567-6177
JOHN F KLUDT OD
Optometrist
1000 HIGHWAY 12
HETTINGER, ND 58639
Adams County (701) 567-6133
MRS. JODI LYNN WILSON MSN, FNP
Nurse Practitioner (Family)
1000 HIGHWAY 12
HETTINGER, ND 58639
Adams County (701) 567-4561
KENT R HOERAUF MD
Internal Medicine
1000 HIGHWAY 12
HETTINGER, ND 58639
Adams County (701) 567-4561
JOHN P JOYCE MD
Family Medicine
1000 HIGHWAY 12
HETTINGER, ND 58639
Adams County (701) 567-4561
SETH WAYNE FISHER
Nurse Practitioner (Family)
1000 HIGHWAY 12
HETTINGER, ND 58639
Adams County (701) 567-6177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Jacobsen's NPI number?

The NPI number for Thomas Jacobsen is 1053405662. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Thomas Jacobsen located?

Thomas Jacobsen practices at 1000 Highway 12, Hettinger, ND 58639. The listed phone number is (701) 567-4561.

What is Thomas Jacobsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Jacobsen enrolled in Medicare?

Yes. Thomas Jacobsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Jacobsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.