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ASHLEY MARIE JACOBSON NURSE PRACTITIONER
NPI 1306318498
Nurse Practitioner - Gerontology in Grand Rapids, MI

Active since December 30, 2018PECOS EnrolledAccepts Medicare Assignment
4100 LAKE DR SE STE D, GRAND RAPIDS, MI 49546(616) 391-7580 Get Directions Write a Review

NPPES record last updated: December 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashley Marie Jacobson Nurse Practitioner NPPES

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

ASHLEY MARIE JACOBSON NURSE PRACTITIONER (NPI 1306318498) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (AG09180029) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306318498
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameASHLEY MARIE JACOBSONCredential: NURSE PRACTITIONER
Location Address4100 LAKE DR SE STE DGrand Rapids, MI 49546-8292
Mailing Address4100 Lake Dr Se Ste DGrand Rapids, MI 49546-8292 · (616) 391-7580
Phone(616) 391-7580
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 30, 2018
✔ NPI 1306318498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · AG09180029
4100 LAKE DR SE STE D, Grand Rapids, MI 49546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ashley Marie Jacobson Nurse Practitioner 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 ID4082955042
PECOS Enrollment IDI20190401002483
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Ashley Jacobson's NPI number?

The NPI number for Ashley Jacobson is 1306318498. It was assigned to this individual provider in the NPPES registry on December 30, 2018.

Where is Ashley Jacobson located?

Ashley Jacobson practices at 4100 Lake Dr SE Ste D, Grand Rapids, MI 49546. The listed phone number is (616) 391-7580.

What is Ashley Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ashley Jacobson enrolled in Medicare?

Yes. Ashley 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 Ashley Jacobson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Oscar Insurance Company and 2 other insurers list Ashley 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 Ashley Jacobson was last updated on December 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.