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PAUL JACOBSEN M.D.
NPI 1255391819
Psychiatry & Neurology - Neurology in Vancouver, WA

Active since March 27, 2006PECOS Enrolled
505 NE 87TH AVE, STE. 460, VANCOUVER, WA 98664(360) 256-8865(360) 256-7127 Get Directions Write a Review

NPPES record last updated: May 7, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul Jacobsen M.d. NPPES

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

PAUL JACOBSEN M.D. (NPI 1255391819) is an individual neurology provider in Vancouver, Washington, licensed in Washington (MD00026501) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255391819
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePAUL JACOBSENCredential: M.D.
Location Address505 NE 87TH AVE, STE. 460Vancouver, WA 98664-1989
Mailing Address505 Ne 87th Ave, Ste. 460Vancouver, WA 98664-1989 · (360) 256-8865 · Fax (360) 256-7127
Phone(360) 256-8865
Fax(360) 256-7127
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateMay 7, 2010
✔ NPI 1255391819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · MD00026501
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
505 NE 87TH AVE, Vancouver, WA 98664
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Other Identifiers 4

Medicare UPINE33381WA
Medicare PING8887170WA
Medicare PIN130006786
Medicaid8150039WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Jacobsen M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Jacobsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peacehealth
Same address
Surgery
505 NE 87TH AVE, SUITE 301
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 307 clinicians in this Medicare group
NPI 1609061969 (360) 514-7374

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 98664 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$10.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ADAM LOUIS RASKY MD
Ophthalmology
505 NE 87TH AVE, SUITE 100
VANCOUVER, WA 98664
Clark County (360) 904-6781
AIDAN H DERENNE MD
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Clark County (360) 892-1635
CHARLES E FUCHS MD
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Clark County (360) 892-1635
MR. ALAMANDER HICKS PHD
Audiologist
505 NE 87TH AVE, SUITE 150
VANCOUVER, WA 98664
Clark County (360) 892-9367
ERIN P GIBBONS M.D.
Urology
505 NE 87TH AVE, SUITE 200
VANCOUVER, WA 98664
Clark County (360) 256-8836
KATHERINE ELIZABETH HOLLAND M.D.
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, SUITE 120
VANCOUVER, WA 98664
Clark County (360) 892-1635
JENNIFER L SODEN MD
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Clark County (360) 892-1635
RICHARD A BERNHEIMER JR. MD
Ophthalmology
505 NE 87TH AVE, SUITE 100
VANCOUVER, WA 98664
Clark County (360) 904-6781

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 Paul Jacobsen's NPI number?

The NPI number for Paul Jacobsen is 1255391819. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Paul Jacobsen located?

Paul Jacobsen practices at 505 NE 87th Ave Ste. 460, Vancouver, WA 98664. The listed phone number is (360) 256-8865.

What is Paul Jacobsen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paul Jacobsen enrolled in Medicare?

Yes. Paul Jacobsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Jacobsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Jacobsen reassigns Medicare benefits to Peacehealth (Vancouver, WA). The 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 Paul Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Jacobsen was last updated on May 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.