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KORTNEY JACOBSEN NURSE PRACTITIONER
NPI 1497100580
Nurse Practitioner in Scott, LA

Active since April 26, 2016PECOS EnrolledAccepts Medicare Assignment
203 WESTGATE ROAD, SCOTT, LA 70506(337) 326-4569 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kortney Jacobsen Nurse Practitioner NPPES

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

KORTNEY JACOBSEN NURSE PRACTITIONER (NPI 1497100580) is an individual nurse practitioner in Scott, Louisiana, licensed in Louisiana (AP212553) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Jordan, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497100580
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKORTNEY JACOBSENCredential: NURSE PRACTITIONER
Location Address203 WESTGATE ROADScott, LA 70506
Mailing Address203 Westgate RoadScott, LA 70506 · (435) 749-1488
Phone(337) 326-4569
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 26, 2016
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedAugust 12, 2020
✔ NPI 1497100580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in LA · AP212553
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 6211903-4405 (UT)
203 WESTGATE ROAD, Scott, LA 70506
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Other Names 1

Former Name (1)Kortney Mcmullin Nurse Practitioner

Secondary Practice Location 1

Location 13556 W 9800 S, Ste #101South Jordan, UT 84095-3211 · Phone (801) 567-9780

Other Identifiers 1

Medicaid2539957LA

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

Kortney Jacobsen Nurse Practitioner 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 ID4183916059
PECOS Enrollment IDI20200814000295
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kortney Jacobsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hulin Urgent Care Services, LLC
5.5 mi
Urgent Care
6770 JOHNSTON ST STE B
Lafayette, LA 70503
  • Reassigned Medicare billing, Louisiana enrollment
  • 241 clinicians in this Medicare group
NPI 1598159279 (337) 326-5702
Ahs Walk In Clinic Inc
8.2 mi
Urgent Care
6011 AMBASSADOR CAFFERY PKWY
Youngsville, LA 70592
  • Reassigned Medicare billing, Louisiana enrollment
  • 40 clinicians in this Medicare group
NPI 1639234495 (337) 234-9925

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
723 services73 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
124 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services101 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
95 services84 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
79 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 Kortney Jacobsen's NPI number?

The NPI number for Kortney Jacobsen is 1497100580. It was assigned to this individual provider in the NPPES registry on April 26, 2016. The provider is also known as Kortney Mcmullin Nurse Practitioner.

Where is Kortney Jacobsen located?

Kortney Jacobsen practices at 203 Westgate Road, Scott, LA 70506. The listed phone number is (337) 326-4569.

What is Kortney Jacobsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kortney Jacobsen enrolled in Medicare?

Yes. Kortney Jacobsen 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 organizations bill Medicare for Kortney Jacobsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kortney Jacobsen reassigns Medicare benefits to 2 organizations: Hulin Urgent Care Services, LLC (Lafayette, LA) and Ahs Walk In Clinic Inc (Youngsville, LA). Each 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 Kortney Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kortney Jacobsen was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.