TERRY L JACOBSON MD PLLC
NPI 1316954506
Internal Medicine in Issaquah, WA
About Terry L Jacobson Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRY L JACOBSON MD PLLC (NPI 1316954506) is a healthcare organization registered as an internal medicine in Issaquah, Washington and active in the NPI registry since August 2006. The organization lists Rachel J Couwenberg, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Terry L Jacobson Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Terry L Jacobson MD 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 Terry L Jacobson MD PLLC's NPI number?
The NPI number for Terry L Jacobson MD PLLC is 1316954506. It was assigned to this organization in the NPPES registry on August 1, 2006.
Where is Terry L Jacobson MD PLLC located?
Terry L Jacobson MD PLLC is located at 710 NW Juniper St Suite 204, Issaquah, WA 98027. The listed phone number is (425) 837-8842.
What is Terry L Jacobson MD PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Terry L Jacobson MD PLLC enrolled in Medicare?
Yes. Terry L Jacobson MD PLLC is registered in the Medicare PECOS enrollment system.
When is Terry L Jacobson MD PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Terry L Jacobson MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Terry L Jacobson MD 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 Terry L Jacobson MD PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Terry L Jacobson MD 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 Terry L Jacobson MD PLLC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Terry L Jacobson Md Pllc · NPI 1316954506
Internal Medicine organization in Issaquah, Washington. Organization record, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1316954506 (Entity type: Organization)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Rachel Couwenberg, BILLING MANAGER
## Practice location
- **Address:** 710 NW JUNIPER ST, SUITE 204, Issaquah, WA 98027-2717
- **Phone:** (425) 837-8842
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2007
- **Other identifiers:** Medicare PIN G8858507 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1316954506) · Data from the CMS NPPES public registry.