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KEVIN S JACOBSON NP
NPI 1528093077
Nurse Practitioner in Cooperstown, ND

Active since July 12, 2006PECOS Enrolled
1200 ROBERTS AVE NE, COOPERSTOWN MEDICAL CENTER, COOPERSTOWN, ND 58425(701) 797-2128 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin S Jacobson Np NPPES

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

KEVIN S JACOBSON NP (NPI 1528093077) is an individual nurse practitioner in Cooperstown, North Dakota, licensed in North Dakota (R27650) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528093077
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKEVIN S JACOBSONCredential: NP
Location Address1200 ROBERTS AVE NE, COOPERSTOWN MEDICAL CENTERCooperstown, ND 58425-7101
Mailing Address1200 Roberts Ave Ne, Cooperstown Medical CenterCooperstown, ND 58425-7101 · (701) 797-2128
Phone(701) 797-2128
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateMay 23, 2012
✔ NPI 1528093077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in ND · R27650✔ Licensed in MN · R1561072
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.
1200 ROBERTS AVE NE, Cooperstown, ND 58425
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Other Identifiers 2

Medicare UPINP05375
Medicaid19682ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin S Jacobson Np 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kevin Jacobson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lisbon Area Health Services
73 mi
Clinic/Center
905 MAIN ST
Lisbon, ND 58054
  • Reassigned Medicare billing, North Dakota enrollment
  • 55 clinicians in this Medicare group
NPI 1184051971 (701) 683-6400
Bridges Medical Center
75 mi
Rural Health
201 9TH ST W
Ada, MN 56510
  • Reassigned Medicare billing, Minnesota enrollment
  • 41 clinicians in this Medicare group
NPI 1366886186 (218) 784-5000
Oakes Community Hospital
89 mi
Critical Access
1200 N 7TH ST
Oakes, ND 58474
  • Reassigned Medicare billing, North Dakota enrollment
  • 33 clinicians in this Medicare group
NPI 1598848517 (701) 742-3291
First Care Medical Services
109 mi
Rural Health
400 GOVERNOR STREET
Oklee, MN 56742
  • Reassigned Medicare billing, Minnesota enrollment
  • 91 clinicians in this Medicare group
NPI 1174812465 (218) 796-4525

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58425 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

MRS. BROOKE LEIGH FREDRICKSON LRD, CSG
Dietitian, Registered
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221
GRIGGS COUNTY NURSING HOME
Skilled Nursing Facility
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221
AGASSIZ DENTAL ASSOCIATES, PC
Dentist
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2641
COOPERSTOWN MEDICAL CENTER
Skilled Nursing Facility
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221
DEBRA L. MIDDLETON FNP
Nurse Practitioner (Family)
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221
MR. NORMAN LEO BERTHIAUME FNP-C
Nurse Practitioner (Primary Care)
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Griggs County (701) 797-2221

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 Kevin Jacobson's NPI number?

The NPI number for Kevin Jacobson is 1528093077. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kevin Jacobson located?

Kevin Jacobson practices at 1200 Roberts Ave NE Cooperstown Medical Center, Cooperstown, ND 58425. The listed phone number is (701) 797-2128.

What is Kevin Jacobson's specialty?

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

Is Kevin Jacobson enrolled in Medicare?

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

Which organizations bill Medicare for Kevin Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Jacobson reassigns Medicare benefits to 4 organizations: Lisbon Area Health Services (Lisbon, ND), Bridges Medical Center (Ada, MN), Oakes Community Hospital (Oakes, ND) and First Care Medical Services (Oklee, MN). 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 Kevin Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Jacobson accept?

Health plans from Blue Cross Blue Shield of North Dakota list Kevin Jacobson 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 Kevin Jacobson was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.