AMY JACOBSON MD
NPI 1386957363
Anesthesiology in Grand Rapids, MI

Q: What is Amy Jacobson's NPI number?

The NPI number for Amy Jacobson is 1386957363. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Q: What is Amy Jacobson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Jacobson was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 20, 2010PECOS EnrolledAccepts Medicare Assignment

86.01/100

CMS Quality Rating

3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 284-3134(616) 284-3135 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Amy Jacobson Md NPPES

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

AMY JACOBSON MD (NPI 1386957363) is an individual anesthesiology provider in Grand Rapids, Michigan, licensed in Michigan (4301105571) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Straith Hospital For Special Surgery, and is a graduate of Ohio State University College Of Medicine (2010).

NPPES Registry Identity

NPI1386957363

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameAMY JACOBSONCredential: MD

Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9493

Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9493 · (616) 364-4200 · Fax (616) 364-7347

Phone(616) 284-3134

Fax(616) 284-3135

Sole ProprietorYes

Medical School CMSOhio State University College Of MedicineGraduated 2010

Enumeration DateJuly 20, 2010

Last NPPES UpdateMay 29, 2014

✔ NPI 1386957363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MI · 4301105571

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3333 EVERGREEN DR NE, Grand Rapids, MI 49525

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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

Amy Jacobson Md 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 ID4587889423

PECOS Enrollment IDI20140708002397

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.

Medicare Billing Reassignments

Medicare enrollment records show Amy Jacobson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Long Lake Anesthesiology Consultants, Plc

126 mi

Anesthesiology

4550 INVESTMENT DR, SUITE 100
Troy, MI 48098

Reassigned Medicare billing, Michigan enrollment
131 clinicians in this Medicare group

NPI 1194812651 (800) 581-9044

Northstar Anesthesia Of Michigan III PLLC

933 mi

Pain Medicine

6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038

Reassigned Medicare billing, Michigan enrollment
905 clinicians in this Medicare group

NPI 1972126209 (214) 687-0001

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 15

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

57 services50 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

39 services39 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

26 services26 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

23 services23 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

22 services22 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

20 services20 patients

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

19 services19 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

18 services18 patients

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

16 services16 patients

Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter 64416

This procedure involves injecting a numbing agent, often combined with a steroid, into the nerve bundle in your arm. It's typically done via continuous infusion. The aim is to manage pain and reduce inflammation, enhancing your comfort and recovery.

16 services16 patients

Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve) 64445

This procedure involves injecting an anesthetic or steroid into the lower back and leg nerve to alleviate pain. The injection helps reduce inflammation and numb the area, providing relief from discomfort. This is a common treatment for conditions such as sciatica and herniated discs.

16 services16 patients

Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter 64448

This procedure involves the slow, steady delivery of a medication into your thigh nerve. An anesthetic agent or steroid is used to manage pain or inflammation. It's a safe, effective way to deliver medication directly to the area that needs it.

15 services15 patients

Anesthesia for other procedure on top of arm bone and shoulder joint 01630

Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.

12 services12 patients

Anesthesia for other procedure or exam of knee joint using an endoscope 01400

Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.

11 services11 patients

Anesthesia for other procedure on forearm, wrist, or hand bones 01830

Anesthesia for procedures on forearm, wrist, or hand bones involves administering medications to block sensation in the specific area. It ensures you don't feel pain during the procedure. It can be local (numbing a small area) or regional (numbing a larger part of the body).

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Straith Hospital For Special Surgery

Acute Care Hospitals · Southfield, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230071

Location23901 LahserSouthfield, MI 48033 · Oakland County

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.29

Improvement Activities

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.

MR. JEFFREY RYAN HALL AA

Anesthesiologist Assistant