CAROL ELIZABETH JACOBY ACNP
NPI 1457368391
Nurse Practitioner - Acute Care in Portland, OR
About Carol Elizabeth Jacoby Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL ELIZABETH JACOBY ACNP (NPI 1457368391) is an individual acute care provider in Portland, Oregon and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Carol Elizabeth Jacoby Acnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Carol Jacoby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Carol Jacoby's NPI number?
The NPI number for Carol Jacoby is 1457368391. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Carol Jacoby located?
Carol Jacoby practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-5058.
What is Carol Jacoby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Carol Jacoby enrolled in Medicare?
Yes. Carol Jacoby 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.
Which organization bills Medicare for Carol Jacoby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Jacoby reassigns Medicare benefits to University Professional Services (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Jacoby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Jacoby accept?
Health plans from Providence Health Plan list Carol Jacoby 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.
Is Carol Jacoby affiliated with any hospitals?
According to CMS data, Carol Jacoby is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Carol Jacoby was last updated on August 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Carol Elizabeth Jacoby, ACNP · NPI 1457368391
Acute Care physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1457368391 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-5058
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1376709535, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** August 15, 2007
- **Other identifiers:** Medicaid 292871 (OR); Medicare UPIN S94290
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Source: [NPI Profile](https://npiprofile.com/npi/1457368391) · Data from the CMS NPPES public registry.