MRS. KIMBERLY ILEANA JACOBS OTR
NPI 1073608683
Occupational Therapist in New London, WI
About Mrs. Kimberly Ileana Jacobs Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY ILEANA JACOBS OTR (NPI 1073608683) is an individual occupational therapist in New London, Wisconsin, licensed in Wisconsin (3746-026) and active in the NPI registry since October 2006. She maintains a secondary practice location in Mukwonago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kimberly Ileana Jacobs Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin enrollment
- 1,155 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Kimberly Jacobs's NPI number?
The NPI number for Kimberly Jacobs is 1073608683. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Kimberly Jacobs located?
Kimberly Jacobs practices at 1405 Mill St, New London, WI 54961. The listed phone number is (920) 531-2031.
What is Kimberly Jacobs's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kimberly Jacobs enrolled in Medicare?
Yes. Kimberly Jacobs is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Jacobs reassigns Medicare benefits to Mercy Health System Corporation (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Jacobs accept?
Health plans from MercyCare, MercyCare Health Plans and Security Health Plan list Kimberly Jacobs 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.
When was this NPI record last updated?
The NPPES record for Kimberly Jacobs was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.