TIMOTHY DANIEL JACOBSEN PA-C
NPI 1063297372
Physician Assistant in Richland, WA

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
888 SWIFT BLVD, RICHLAND, WA 99352(509) 946-4611 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2023, Aug 28, 2023 (2 updates tracked since 2023).

About Timothy Daniel Jacobsen Pa-c NPPES

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

TIMOTHY DANIEL JACOBSEN PA-C (NPI 1063297372) is an individual physician assistant in Richland, Washington, licensed in Washington (PA61470203) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and is a graduate of University Of Michigan Medical School (2023).

NPPES Registry Identity

NPI1063297372
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY DANIEL JACOBSENCredential: PA-C
Location Address888 SWIFT BLVDRichland, WA 99352-3514
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 942-3627 · Fax (509) 627-2983
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2023
Enumeration DateAugust 28, 2023
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1063297372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA61470203
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

888 SWIFT BLVD, Richland, WA 99352

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy Daniel Jacobsen Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385090679
PECOS Enrollment IDI20231023002253
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

Registered Nurse
888 SWIFT BLVD
RICHLAND, WA 99352
Anesthesiology
888 SWIFT BLVD
RICHLAND, WA 99352
Internal Medicine (Critical Care Medicine)
888 SWIFT BLVD
RICHLAND, WA 99352
Registered Nurse (Registered Nurse First Assistant)
888 SWIFT BLVD
RICHLAND, WA 99352
Pharmacist
888 SWIFT BLVD
RICHLAND, WA 99352
Pharmacist
888 SWIFT BLVD
RICHLAND, WA 99352
Anesthesiology
888 SWIFT BLVD
RICHLAND, WA 99352
Emergency Medicine
888 SWIFT BLVD
RICHLAND, WA 99352

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 Timothy Jacobsen's NPI number?

The NPI number for Timothy Jacobsen is 1063297372. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Timothy Jacobsen located?

Timothy Jacobsen practices at 888 Swift Blvd, Richland, WA 99352. The listed phone number is (509) 946-4611.

What is Timothy Jacobsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Jacobsen enrolled in Medicare?

Yes. Timothy Jacobsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Jacobsen accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Timothy Jacobsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Jacobsen affiliated with any hospitals?

According to CMS data, Timothy Jacobsen is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Jacobsen was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.