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CARMEN JEAN JACOBSON P.A.-C
NPI 1063510550
Physician Assistant - Medical in Saint Paul, MN

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
2550 UNIVERSITY AVE W, SUITE 110N, SAINT PAUL, MN 55114(651) 602-5311(651) 222-6786 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carmen Jean Jacobson P.a.-c NPPES

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

CARMEN JEAN JACOBSON P.A.-C (NPI 1063510550) is an individual medical provider in Saint Paul, Minnesota, licensed in Minnesota (9775) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063510550
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARMEN JEAN JACOBSONCredential: P.A.-C
Location Address2550 UNIVERSITY AVE W, SUITE 110NSaint Paul, MN 55114-1052
Mailing Address2550 University Ave W, Suite 110nSaint Paul, MN 55114-1052 · (651) 602-5311 · Fax (651) 222-6786
Phone(651) 602-5311
Fax(651) 222-6786
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2013
✔ NPI 1063510550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 9775
2550 UNIVERSITY AVE W, Saint Paul, MN 55114
Open in Google Maps ↗

Other Names 1

Former Name (1)Carmen Larson P.a.-c

Other Identifiers 4

Medicare PIN970001579MN
Medicare ID-Type Unspecified970001579MN
Medicare UPINP79290MN
Medicaid127392200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Carmen Jean Jacobson P.a.-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 ID9436181674
PECOS Enrollment IDI20050908000382
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services28 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

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.

MRS. MELISSA LEA URBANEK LMFT
Marriage & Family Therapist
2550 UNIVERSITY AVE W, STE 435 S
SAINT PAUL, MN 55114
Ramsey County (651) 647-1900
MICHELLE S KENNEDY MD
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Ramsey County (612) 870-5557
TYANN ZEAL R.D., L.D.
Dietitian, Registered
2550 UNIVERSITY AVE W
SAINT PAUL, MN 55114
Ramsey County (952) 993-6200
AMY LAWRENCE L.M.F.T.
Marriage & Family Therapist
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Ramsey County (651) 645-5323
SHANNON O'DONNELL L.P.
Psychologist (Clinical)
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Ramsey County (651) 645-5323
EMILY KATHRYN KAHNERT DPT
Physical Therapist
2550 UNIVERSITY AVE W, SUITE 189S
SAINT PAUL, MN 55114
Ramsey County (651) 332-7474
GERALD PATRICK CRIMMINS PSYD CP
Psychologist
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Ramsey County (651) 645-3115
MARY SULLIVAN LP
Clinical Neuropsychologist
2550 UNIVERSITY AVE W, SUITE 310N
SAINT PAUL, MN 55114
Ramsey County (651) 379-5157

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 Carmen Jacobson's NPI number?

The NPI number for Carmen Jacobson is 1063510550. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Carmen Larson P.A.-C.

Where is Carmen Jacobson located?

Carmen Jacobson practices at 2550 University Ave W Suite 110N, Saint Paul, MN 55114. The listed phone number is (651) 602-5311.

What is Carmen Jacobson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carmen Jacobson enrolled in Medicare?

Yes. Carmen Jacobson 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 Carmen Jacobson accept?

Health plans from HealthPartners and Medica list Carmen Jacobson 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 Carmen Jacobson affiliated with any hospitals?

According to CMS data, Carmen Jacobson is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Jacobson was last updated on August 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.