COURTNEY ANNE JACOBSON MSN, ARNP, AGNP-C
NPI 1104684893
Nurse Practitioner - Primary Care in Snohomish, WA

Active since March 08, 2024PECOS EnrolledAccepts Medicare Assignment
5807 121ST ST SE, SNOHOMISH, WA 98296(425) 765-5903 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1104684893
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCOURTNEY ANNE JACOBSONCredential: MSN, ARNP, AGNP-C
Location Address5807 121ST ST SESnohomish, WA 98296-6977
Mailing Address5807 121st St SeSnohomish, WA 98296-6977 · (425) 765-5903
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2023
Enumeration DateMarch 8, 2024
NPPES CertifiedMarch 7, 2024
NPI 1104684893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WA · AP61535543
5807 121ST ST SE, Snohomish, WA 98296

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

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.

PECOS PAC ID8527597863
PECOS Enrollment IDI20250130003550
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.

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.

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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 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.

What insurance does Courtney Jacobson accept?

Health plans from 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.