WILLIAM M. JACOBSEN MD PC
NPI 1215123336
Plastic Surgery in Phoenix, AZ

Q: What is William M. Jacobsen MD PC's NPI number?

The NPI number for William M. Jacobsen MD PC is 1215123336. It was assigned to this organization in the NPPES registry on September 21, 2007.

Q: What is William M. Jacobsen MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since September 21, 2007

2400 E AZ BILTMORE CIR, STE 2450, PHOENIX, AZ 85016(602) 212-0100(602) 279-1701 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About William M. Jacobsen Md Pc NPPES

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

WILLIAM M. JACOBSEN MD PC (NPI 1215123336) is a healthcare organization registered as a plastic surgery in Phoenix, Arizona and active in the NPI registry since September 2007. The organization lists William M Jacobsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1215123336

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameWILLIAM M. JACOBSEN MD PC

Location Address2400 E AZ BILTMORE CIR, STE 2450Phoenix, AZ 85016-2107

Mailing Address2400 E Az Biltmore Cir, Ste 2450Phoenix, AZ 85016-2107 · (602) 212-0100 · Fax (602) 279-1701

Phone(602) 212-0100

Fax(602) 279-1701

Organization SubpartNo

Authorized OfficialWilliam M JacobsenOwner · (602) 212-0100

Enumeration DateSeptember 21, 2007

Last NPPES UpdateMay 15, 2013

✔ NPI 1215123336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in AZ · 21620

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2400 E AZ BILTMORE CIR, Phoenix, AZ 85016

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William M. Jacobsen Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to William M. Jacobsen MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Jacobsen, MD

Plastic and Reconstructive Surgery

NPI 1639176894

2400 E ARIZONA BILTMORE CIR SUITE 2450
Phoenix, AZ 85016

(602) 212-0100

✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 William M. Jacobsen MD PC's NPI number?

The NPI number for William M. Jacobsen MD PC is 1215123336. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is William M. Jacobsen MD PC located?

William M. Jacobsen MD PC is located at 2400 E Az Biltmore Cir Ste 2450, Phoenix, AZ 85016. The listed phone number is (602) 212-0100.

What is William M. Jacobsen MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is William M. Jacobsen MD PC enrolled in Medicare?

Yes. William M. Jacobsen MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through William M. Jacobsen MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to William M. Jacobsen MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for William M. Jacobsen MD PC was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.