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MS. MADELINE JACOBS PMHNP, RN, BSN
NPI 1447622477
Nurse Practitioner - Psychiatric/Mental Health in Clackamas, OR

Active since October 29, 2015PECOS Enrolled
13568 SE 97TH AVE STE 202, CLACKAMAS, OR 97015(503) 694-3381(503) 386-3293 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2024, Mar 7, 2023, Jan 11, 2023 and 4 more (7 updates tracked since 2018).

About Ms. Madeline Jacobs Pmhnp, Rn, Bsn NPPES

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

MS. MADELINE JACOBS PMHNP, RN, BSN (NPI 1447622477) is an individual psychiatric/mental health provider in Clackamas, Oregon, licensed in Oregon (201809753NP-PP) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447622477
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MADELINE JACOBSCredential: PMHNP, RN, BSN
Location Address13568 SE 97TH AVE STE 202Clackamas, OR 97015-6668
Mailing AddressPo Box 23993Tigard, OR 97281-3993 · (503) 694-3381 · Fax (503) 386-3293
Phone(503) 694-3381
Fax(503) 386-3293
Sole ProprietorNo
Enumeration DateOctober 29, 2015
Last NPPES UpdateDecember 3, 20247 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1447622477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 201809753NP-PP
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License 201504614RN (OR)
13568 SE 97TH AVE STE 202, Clackamas, OR 97015
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16700 SW 105th Ave Ste 203Beaverton, OR 97008-8824 · Phone (503) 694-3381 · Fax (503) 386-3293
Location 27533 Center View Ct #210West Jordan, UT 84084 · Phone (503) 694-3381 · Fax (503) 386-3293

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Madeline Jacobs Pmhnp, Rn, Bsn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 3

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

ALEXIS LAWRENCE
Social Worker (Clinical)
13568 SE 97TH AVE STE 202
CLACKAMAS, OR 97015
Clackamas County (503) 465-5271
MR. SEAN MICHAEL SMITH
Social Worker
13568 SE 97TH AVE STE 202
CLACKAMAS, OR 97015
Clackamas County (503) 376-8150
JACOBS MENTAL HEALTH SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
13568 SE 97TH AVE STE 202
CLACKAMAS, OR 97015
Clackamas County (503) 694-3381

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 Madeline Jacobs's NPI number?

The NPI number for Madeline Jacobs is 1447622477. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Madeline Jacobs located?

Madeline Jacobs practices at 13568 SE 97th Ave Ste 202, Clackamas, OR 97015. The listed phone number is (503) 694-3381.

What is Madeline Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Madeline Jacobs enrolled in Medicare?

Yes. Madeline Jacobs is registered in the Medicare PECOS enrollment system.

What insurance does Madeline Jacobs accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Madeline Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madeline Jacobs was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.