DR. JOHN R JACOBSEN MD
NPI 1407870488
Family Medicine in Kearney, NE
About Dr. John R Jacobsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN R JACOBSEN MD (NPI 1407870488) is an individual family medicine provider in Kearney, Nebraska, licensed in Nebraska (21781) and active in the NPI registry since July 2006. He has opted out of Medicare through January 13, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. John R Jacobsen Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 13, 2022 through January 13, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Jacobsen's NPI number?
The NPI number for John Jacobsen is 1407870488. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is John Jacobsen located?
John Jacobsen practices at 416 W 48th St Ste 28, Kearney, NE 68845. The listed phone number is (308) 708-7631.
What is John Jacobsen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Jacobsen enrolled in Medicare?
No. John Jacobsen has opted out of Medicare through January 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for John Jacobsen was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. John R Jacobsen, MD · NPI 1407870488
Family Medicine physician in Kearney, Nebraska. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1407870488 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 21781 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 416 W 48TH ST STE 28, Kearney, NE 68845-1314
- **Phone:** (308) 708-7631 · **Fax:** (308) 708-7635
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 13, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1407870488) · Data from the CMS NPPES public registry.