JACOBSON COMMUNITY MENTAL HEALTH AND WELLNESS PLLC
NPI 1316776818
Nurse Practitioner - Psychiatric/Mental Health in Bellevue, WA
About Jacobson Community Mental Health And Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOBSON COMMUNITY MENTAL HEALTH AND WELLNESS PLLC (NPI 1316776818) is a healthcare organization registered as a psychiatric/mental health in Bellevue, Washington and active in the NPI registry since July 2024. The organization lists Holly L. Jacobson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacobson Community Mental Health And Wellness Pllc 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 Jacobson Community Mental Health And Wellness PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jacobson Community Mental Health And Wellness PLLC's NPI number?
The NPI number for Jacobson Community Mental Health And Wellness PLLC is 1316776818. It was assigned to this organization in the NPPES registry on July 31, 2024.
Where is Jacobson Community Mental Health And Wellness PLLC located?
Jacobson Community Mental Health And Wellness PLLC is located at 11900 NE 1st St Ste 300, Bellevue, WA 98005. The listed phone number is (818) 913-2075.
What is Jacobson Community Mental Health And Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacobson Community Mental Health And Wellness PLLC enrolled in Medicare?
Yes. Jacobson Community Mental Health And Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jacobson Community Mental Health And Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jacobson Community Mental Health And Wellness PLLC. 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.
What insurance does Jacobson Community Mental Health And Wellness PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Jacobson Community Mental Health And Wellness PLLC 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 Jacobson Community Mental Health And Wellness PLLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacobson Community Mental Health And Wellness Pllc · NPI 1316776818
Psychiatric/Mental Health organization in Bellevue, Washington. Organization record, active in the CMS NPPES registry since July 31, 2024.
## Identity
- **NPI:** 1316776818 (Entity type: Organization)
- **Enumerated:** July 31, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Holly Jacobson, CEO
## Practice location
- **Address:** 11900 NE 1ST ST STE 300, Bellevue, WA 98005-3049
- **Phone:** (818) 913-2075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316776818) · Data from the CMS NPPES public registry.