MRS. SANDRA M JACOBSON RD
NPI 1336897263
Dietitian, Registered in Tucson, AZ

Q: What is Sandra Jacobson's NPI number?

The NPI number for Sandra Jacobson is 1336897263. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Q: What is Sandra Jacobson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Jacobson was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since March 10, 2022Accepts Medicare Assignment

320 W PRINCE RD, TUCSON, AZ 85705(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mrs. Sandra M Jacobson Rd NPPES

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

MRS. SANDRA M JACOBSON RD (NPI 1336897263) is an individual dietitian, registered in Tucson, Arizona, licensed in Arizona (86020648) and active in the NPI registry since March 2022. She maintains a secondary practice location in Tucson and is a graduate of Other (2011).

NPPES Registry Identity

NPI1336897263

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. SANDRA M JACOBSONCredential: RD

Location Address320 W PRINCE RDTucson, AZ 85705-3526

Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560

Phone(520) 670-3909

Fax(520) 309-2560

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 10, 2022

Last NPPES UpdateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1336897263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AZ · 86020648

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

320 W PRINCE RD, Tucson, AZ 85705

Open in Google Maps ↗

Secondary Practice Location 1

Location 11230 S Cherrybell StraTucson, AZ 85713-1907 · Phone (520) 670-3909 · Fax (520) 309-2560

Other Identifiers 1

Other86020648AZ · Commission On Dietetic Registration

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Mrs. Sandra M Jacobson Rd 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 ID1557749777

PECOS Enrollment IDI20220531002144

Medicare Billing Reassignment

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

El Rio Santa Cruz Neighborhood Health Center, Inc

2.9 mi

Federally Qualified Health Center (FQHC)

434 E UNIVERSITY BLVD STE 200
Tucson, AZ 85705

Reassigned Medicare billing, Arizona enrollment
464 clinicians in this Medicare group

NPI 1598457525 (520) 670-3909

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 85705 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

$0.00 typical visit price

range $55.44 – $168.60

Typical copayment $0.00 (range $13.86 – $42.15)

Most-billed visit code NA

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

DR. JAMES DAVID MIKOLAJCZAK D.O.

Family Medicine