KAISA T JACOBSEN NP
NPI 1316725260
Nurse Practitioner - Family in Peoria, AZ
About Kaisa T Jacobsen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAISA T JACOBSEN NP (NPI 1316725260) is an individual family provider in Peoria, Arizona, licensed in Arizona (297002) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaisa T Jacobsen Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kaisa Jacobsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Avondale, AZ 85323
- Reassigned Medicare billing, Arizona enrollment
- 285 clinicians in this Medicare group
Phoenix, AZ 85008
- Reassigned Medicare billing, Arizona enrollment
- 1,490 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, AZ 85345
PEORIA, AZ 85345
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 Kaisa Jacobsen's NPI number?
The NPI number for Kaisa Jacobsen is 1316725260. It was assigned to this individual provider in the NPPES registry on September 20, 2023.
Where is Kaisa Jacobsen located?
Kaisa Jacobsen practices at 8088 W Whitney Dr, Peoria, AZ 85345. The listed phone number is (920) 264-4130.
What is Kaisa Jacobsen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kaisa Jacobsen enrolled in Medicare?
Yes. Kaisa Jacobsen 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.
Which organizations bill Medicare for Kaisa Jacobsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaisa Jacobsen reassigns Medicare benefits to 2 organizations: Maricopa County Special Health Care District (Avondale, AZ) and District Medical Group, Inc (Phoenix, AZ). Each 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 Kaisa Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaisa Jacobsen accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 3 other insurers list Kaisa Jacobsen 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 Kaisa Jacobsen was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Kaisa T Jacobsen, NP · NPI 1316725260
Family physician in Peoria, Arizona. Individual provider, active in the CMS NPPES registry since September 20, 2023.
## Identity
- **NPI:** 1316725260 (Entity type: Individual)
- **Enumerated:** September 20, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 297002 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 8088 W WHITNEY DR, Peoria, AZ 85345-6564
- **Phone:** (920) 264-4130
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Maricopa County Special Health Care District (NPI 1043679327, Avondale, AZ); District Medical Group, Inc (NPI 1700119815, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316725260) · Data from the CMS NPPES public registry.