COURTNEY ANNE JACOBSON MSN, ARNP, AGNP-C
NPI 1104684893
Nurse Practitioner - Primary Care in Snohomish, WA
About Courtney Anne Jacobson Msn, Arnp, Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY ANNE JACOBSON MSN, ARNP, AGNP-C (NPI 1104684893) is an individual primary care provider in Snohomish, Washington, licensed in Washington (AP61535543) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Courtney Anne Jacobson Msn, Arnp, Agnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Courtney Jacobson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mukilteo, WA 98275
- Reassigned Medicare billing, Washington enrollment
- 23 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Washington enrollment
- 239 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98296 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Courtney Jacobson's NPI number?
The NPI number for Courtney Jacobson is 1104684893. It was assigned to this individual provider in the NPPES registry on March 8, 2024.
Where is Courtney Jacobson located?
Courtney Jacobson practices at 5807 121st St SE, Snohomish, WA 98296. The listed phone number is (425) 765-5903.
What is Courtney Jacobson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Courtney Jacobson enrolled in Medicare?
Yes. Courtney 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.
Which organizations bill Medicare for Courtney Jacobson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Jacobson reassigns Medicare benefits to 2 organizations: Novari Primary Care LLC (Mukilteo, WA) and Post Acute Medical PLLC (Lanham, MD). Each 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 Courtney Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Jacobson accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Courtney 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 Courtney Jacobson was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Courtney Anne Jacobson, MSN, ARNP, AGNP-C · NPI 1104684893
Primary Care physician in Snohomish, Washington. Individual provider, active in the CMS NPPES registry since March 8, 2024.
## Identity
- **NPI:** 1104684893 (Entity type: Individual)
- **Enumerated:** March 8, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AP61535543 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5807 121ST ST SE, Snohomish, WA 98296-6977
- **Phone:** (425) 765-5903
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Novari Primary Care LLC (NPI 1598272155, Mukilteo, WA); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2023
## Record status
- **NPPES last updated:** March 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104684893) · Data from the CMS NPPES public registry.