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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACOB MICHAEL POULSEN M.D.
NPI 1467642447
Emergency Medicine in Tucson, AZ

Active since July 26, 2007PECOS Enrolled

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Michael Poulsen M.d. NPPES

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

JACOB MICHAEL POULSEN M.D. (NPI 1467642447) is an individual emergency medicine provider in Tucson, Arizona, licensed in Arizona (81900) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and maintains a secondary practice location in Delta.

NPPES Registry Identity

NPI1467642447
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACOB MICHAEL POULSENCredential: M.D.
Location Address1842 E ELMTucson, AZ 85724-0001
Mailing Address8206 N Wheatfield DrTucson, AZ 85741-1258
Phone(520) 626-7233
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2007
Enumeration DateJuly 26, 2007
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1467642447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 81900✔ Licensed in CO · DR.0076354
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1842 E ELM, Tucson, AZ 85724
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Secondary Practice Location 1

Location 11501 E 3rd StDelta, CO 81416-2815 · Phone (970) 874-7681

Other Identifiers 2

Other81900AZ · Arizona Medical Board
Medicaid9000255490CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Michael Poulsen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446313340
PECOS Enrollment IDI20260410001465
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
98 services85 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
58 services54 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Mountain View Hospital

Acute Care Hospitals · Payson, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460013
Location1000 East 100 NorthPayson, UT 84651 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Jacob Poulsen's NPI number?

The NPI number for Jacob Poulsen is 1467642447. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Jacob Poulsen located?

Jacob Poulsen practices at 1842 E Elm, Tucson, AZ 85724. The listed phone number is (520) 626-7233.

What is Jacob Poulsen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Poulsen enrolled in Medicare?

Yes. Jacob Poulsen is registered in the Medicare PECOS enrollment system.

Is Jacob Poulsen affiliated with any hospitals?

According to CMS data, Jacob Poulsen is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Poulsen was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.