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JASON ROBERT JACOBSON APRN
NPI 1104456565
Nurse Practitioner - Family in Jacksonville, FL

Active since January 23, 2020PECOS Enrolled
12428 SAN JOSE BLVD STE 4, JACKSONVILLE, FL 32223(602) 403-9466(602) 708-5615 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Aug 30, 2023, Oct 2, 2020 and 1 more (4 updates tracked since 2020).

About Jason Robert Jacobson Aprn NPPES

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

JASON ROBERT JACOBSON APRN (NPI 1104456565) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11003000) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104456565
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJASON ROBERT JACOBSONCredential: APRN
Location Address12428 SAN JOSE BLVD STE 4Jacksonville, FL 32223-8617
Mailing Address1119 Natures Hammock Rd NSt Johns, FL 32259-2891 · (602) 403-9466
Phone(602) 403-9466
Fax(602) 708-5615
Sole ProprietorNo
Enumeration DateJanuary 23, 2020
Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1104456565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11003000
Also ListedNurse PractitionerTaxonomy 363L00000X · License 13915782-4405 (UT), 870426 (NV), AC003602 (MD), 294465 (AZ), 0024193643 (VA), AP61509339 (WA), APRN11003000 (FL), 95032140 (CA), 1170150 (TX), 10020817 (OR), 8155 (MN), F352405-01 (NY)
12428 SAN JOSE BLVD STE 4, Jacksonville, FL 32223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Robert Jacobson Aprn 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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Jason Jacobson's NPI number?

The NPI number for Jason Jacobson is 1104456565. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Jason Jacobson located?

Jason Jacobson practices at 12428 San Jose Blvd Ste 4, Jacksonville, FL 32223. The listed phone number is (602) 403-9466.

What is Jason Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jason Jacobson enrolled in Medicare?

Yes. Jason Jacobson is registered in the Medicare PECOS enrollment system.

What insurance does Jason Jacobson accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jason 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.

When was this NPI record last updated?

The NPPES record for Jason Jacobson was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.