DR. KIMBERLY JACOBSEN M.D.
NPI 1386945004
Orthopaedic Surgery - Orthopaedic Trauma in Maple Grove, MN

Q: What is Kimberly Jacobsen's NPI number?

The NPI number for Kimberly Jacobsen is 1386945004. It was assigned to this individual provider in the NPPES registry on November 11, 2010.

Q: What is Kimberly Jacobsen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jacobsen was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 11, 2010PECOS EnrolledAccepts Medicare Assignment

14500 99TH AVE N STE 100, MAPLE GROVE, MN 55369(763) 898-1000 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2021, May 3, 2018 (2 updates tracked since 2018).

On this page

About Dr. Kimberly Jacobsen M.d. NPPES

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

DR. KIMBERLY JACOBSEN M.D. (NPI 1386945004) is an individual orthopaedic trauma provider in Maple Grove, Minnesota, licensed in Washington (MD60825838) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1386945004

Entity TypeIndividualFemale

Primary Taxonomy207XX0801X

Provider Legal NameDR. KIMBERLY JACOBSENCredential: M.D.

Location Address14500 99TH AVE N STE 100Maple Grove, MN 55369-4738

Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700

Phone(763) 898-1000

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2010

Enumeration DateNovember 11, 2010

Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration

NPPES CertifiedNovember 10, 2021

✔ NPI 1386945004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

License✔ Licensed in WA · MD60825838

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD60825838 (WA)

14500 99TH AVE N STE 100, Maple Grove, MN 55369

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Secondary Practice Location 1

Location 1325 9th AveSeattle, WA 98104-2420 · Phone (206) 520-5000

Other Identifiers 1

Medicaid1386945004WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Dr. Kimberly Jacobsen M.d. 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 ID4688976087

PECOS Enrollment IDI20210921000498

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services19 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

18 services18 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN MARIE MCBEATH D.O

Internal Medicine (Gastroenterology)