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KIPPEN MARSHALL JACOBSON NP C
NPI 1497802920
Nurse Practitioner - Family in Glennallen, AK

Active since January 05, 2007PECOS Enrolled
MILE 187 GLENN HWY, GLENNALLEN, AK 99588(907) 822-3203(907) 822-5805 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kippen Marshall Jacobson Np C NPPES

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

KIPPEN MARSHALL JACOBSON NP C (NPI 1497802920) is an individual family provider in Glennallen, Alaska, licensed in Alaska (960) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497802920
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKIPPEN MARSHALL JACOBSONCredential: NP C
Location AddressMILE 187 GLENN HWYGlennallen, AK 99588-0589
Mailing AddressPo Box 5Glennallen, AK 99588-0589 · (907) 822-3203 · Fax (907) 822-5805
Phone(907) 822-3203
Fax(907) 822-5805
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 11, 2008
✔ NPI 1497802920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AK · 960
MILE 187 GLENN HWY, Glennallen, AK 99588
Open in Google Maps ↗

Other Identifiers 6

OtherK161914AK · Medicare Ptan
Medicare OSCAR/certification021820AK
Medicare PINK0000WCHWPAK
Other1497802920AK · Npi Number
Medicare UPINP35084AK
MedicaidRH047FQAK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kippen Marshall Jacobson Np C 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 99588 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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 6

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

THOMAS MICHAEL PEEK MS NCC
Counselor (Mental Health)
MILE 187 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3203
CROSS ROAD HEALTH MINISTRIES, INC.
Pharmacy (Community/Retail Pharmacy)
MILE 187 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3336
COPPER RIVER EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Ambulance (Land Transport)
MILE 187 GLENN HWY, BOX 529
GLENNALLEN, AK 99588
Copper River (907) 822-3671
CLARE LATTIMORE F.N.P.
Nurse Practitioner (Family)
MILE 187 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3203
GLENNALLEN CHIROPRACTIC CENTER APC
Chiropractor
MILE 187 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3353
CROSS ROAD HEALTH MINISTRIES, INC.
Clinic/Center (Community Health)
MILE 187 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3203

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 Kippen Jacobson's NPI number?

The NPI number for Kippen Jacobson is 1497802920. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Kippen Jacobson located?

Kippen Jacobson practices at Mile 187 Glenn Hwy, Glennallen, AK 99588. The listed phone number is (907) 822-3203.

What is Kippen Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kippen Jacobson enrolled in Medicare?

Yes. Kippen Jacobson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kippen Jacobson was last updated on November 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.