1. Home
  2. Directory
  3. Michigan
  4. Saginaw
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. JACOB BRIAN BOERSMA
NPI 1124654918
Student in an Organized Health Care Education/Training Program in Saginaw, MI

Active since March 12, 2020PECOS Enrolled
1000 HOUGHTON AVE, SAGINAW, MI 48602(989) 746-7500 Get Directions Write a Review

NPPES record last updated: April 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2022, Mar 12, 2020 (2 updates tracked since 2020).

About Dr. Jacob Brian Boersma NPPES

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

DR. JACOB BRIAN BOERSMA (NPI 1124654918) is an individual student in an organized health care education/training program in Saginaw, Michigan and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124654918
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACOB BRIAN BOERSMA
Location Address1000 HOUGHTON AVESaginaw, MI 48602-5303
Mailing Address1000 Houghton AveSaginaw, MI 48602-5303 · (616) 233-1678
Phone(989) 746-7500
Sole ProprietorNo
Enumeration DateMarch 12, 2020
Last NPPES UpdateApril 23, 20222 updates tracked since enumeration
NPPES CertifiedApril 23, 2022
✔ NPI 1124654918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 HOUGHTON AVE, Saginaw, MI 48602
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Brian Boersma 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.

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.

JERRY XAVIER
Internal Medicine
1000 HOUGHTON AVE, 1100 INTERNAL MEDICINE
SAGINAW, MI 48602
Saginaw County (989) 583-5826
MRS. VERONIKA KINASCHUK M.D.
Obstetrics & Gynecology
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 746-7500
DR. MEAGAN CROFOOT MD
Emergency Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 583-6800
KATIE ANN LONDOS
Nurse Practitioner (Pediatrics)
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 746-7500
PAVAN SHIVANI SINGH MD
Pediatrics
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (947) 362-4191
DR. OMAIMA ALI A AL SINAN M.D
Obstetrics & Gynecology
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 583-6828
SHAFIA BEG M.D.
Internal Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 583-6800
DR. JAMIE MARIE RITTER MD
Emergency Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 746-7500

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 Jacob Boersma's NPI number?

The NPI number for Jacob Boersma is 1124654918. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Jacob Boersma located?

Jacob Boersma practices at 1000 Houghton Ave, Saginaw, MI 48602. The listed phone number is (989) 746-7500.

What is Jacob Boersma's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Boersma enrolled in Medicare?

Yes. Jacob Boersma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Boersma was last updated on April 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.