MRS. RENEE ROSE JACOBSON FNP
NPI 1619196490
Nurse Practitioner - Family in Traverse City, MI

Q: What is Renee Jacobson's NPI number?

The NPI number for Renee Jacobson is 1619196490. It was assigned to this individual provider in the NPPES registry on April 24, 2007. The provider is also known as Mrs. Renee Rose Jacobson Nurse Practitioner.

Q: What is Renee Jacobson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Renee Jacobson was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 24, 2007PECOS Enrolled

3335 S AIRPORT RD W STE 7B, TRAVERSE CITY, MI 49684(231) 463-1611(231) 947-1284 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Renee Rose Jacobson Fnp NPPES

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

MRS. RENEE ROSE JACOBSON FNP (NPI 1619196490) is an individual family provider in Traverse City, Michigan, licensed in Michigan (4704147470) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619196490

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. RENEE ROSE JACOBSONCredential: FNP

Location Address3335 S AIRPORT RD W STE 7BTraverse City, MI 49684-7928

Mailing Address3335 S Airport Rd W Ste 7bTraverse City, MI 49684-7928 · (231) 463-1611 · Fax (231) 947-1284

Phone(231) 463-1611

Fax(231) 947-1284

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1619196490 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 MI · 4704147470

3335 S AIRPORT RD W STE 7B, Traverse City, MI 49684

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Other Names 1

Professional Name (2)Mrs. Renee Rose Jacobson Nurse Practitioner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Renee Rose Jacobson Fnp 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 49684 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 Renee Jacobson's NPI number?

The NPI number for Renee Jacobson is 1619196490. It was assigned to this individual provider in the NPPES registry on April 24, 2007. The provider is also known as Mrs. Renee Rose Jacobson Nurse Practitioner.

Where is Renee Jacobson located?

Renee Jacobson practices at 3335 S Airport Rd W Ste 7B, Traverse City, MI 49684. The listed phone number is (231) 463-1611.

What is Renee Jacobson's specialty?

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

Is Renee Jacobson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Renee Jacobson was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.