AMY JACOBSON MD
NPI 1386957363
Anesthesiology in Grand Rapids, MI

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: July 19, 2026.

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
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.

3333 EVERGREEN DR NE, Grand Rapids, MI 49525

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

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.

Areas of Expertise CMS Part B claims 7

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 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.
51 services51 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.
46 services46 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 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.
15 services15 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
13 services12 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
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
Quality79.29
Improvement Activities40

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.

Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525

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 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.

Where is Amy Jacobson located?

Amy Jacobson practices at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 284-3134.

What is Amy Jacobson's specialty?

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

Is Amy Jacobson enrolled in Medicare?

Yes. Amy Jacobson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amy Jacobson affiliated with any hospitals?

According to CMS data, Amy Jacobson is affiliated with Straith Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Amy Jacobson was last updated on May 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.