DR. EVAN L JACOBSON M.D.
NPI 1629010665
Psychiatry & Neurology - Psychiatry in Palm Beach Gardens, FL

Q: What is Evan Jacobson's NPI number?

The NPI number for Evan Jacobson is 1629010665. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Evan Jacobson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Evan Jacobson enrolled in Medicare?

No. Evan Jacobson has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Evan Jacobson was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 12, 2006Opted out of Medicare · through Oct 1, 2026

3801 PGA BLVD, PALM BEACH GARDENS, FL 33410(561) 815-9791(561) 972-7283 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Evan L Jacobson M.d. NPPES

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

DR. EVAN L JACOBSON M.D. (NPI 1629010665) is an individual psychiatry provider in Palm Beach Gardens, Florida, licensed in Maryland (D0061839) and active in the NPI registry since June 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629010665

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. EVAN L JACOBSONCredential: M.D.

Location Address3801 PGA BLVDPalm Beach Gardens, FL 33410-2758

Mailing Address3801 Pga BlvdPalm Beach Gardens, FL 33410-2758 · (561) 815-9791 · Fax (561) 972-7283

Phone(561) 815-9791

Fax(561) 972-7283

Sole ProprietorYes

Enumeration DateJune 12, 2006

Last NPPES UpdateDecember 7, 2022

NPPES CertifiedDecember 7, 2022

✔ NPI 1629010665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MD · D0061839✔ Licensed in FL · 150265✔ Licensed in VA · 0101236570

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3801 PGA BLVD, Palm Beach Gardens, FL 33410

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Evan L Jacobson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33410 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

$179.05 typical visit price

range $58.56 – $179.05

Typical copayment $44.76 (range $14.64 – $44.76)

Most-billed visit code 99205

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

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.

01030712 LLC

Home Health

3801 PGA BLVD, SUITE 600 - OFFICE 651
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 293-2522

DR. LAURENCE S LEVINE PSYD, ABPP-CN

Clinical Neuropsychologist

3801 PGA BLVD, SUITE 600
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 743-0147

JUNO DERMATOLOGY, LLC

Dermatology

3801 PGA BLVD, SUITE 107
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 594-0050

DR. RACHEL LAUREN MILLER PSY.D., J.D.

Clinical Neuropsychologist

3801 PGA BLVD, SUITE 600 & 602
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 261-5857

JENNIFER L. FANIEL SLP

Speech-Language Pathologist

3801 PGA BLVD
PALM BEACH GARDENS, FL 33410

Palm Beach County (877) 852-0246

MARINA ISHAK

Pharmacist (Pharmacotherapy)

3801 PGA BLVD
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 577-2750

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 Evan Jacobson's NPI number?

The NPI number for Evan Jacobson is 1629010665. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Evan Jacobson located?

Evan Jacobson practices at 3801 Pga Blvd, Palm Beach Gardens, FL 33410. The listed phone number is (561) 815-9791.

What is Evan Jacobson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Evan Jacobson enrolled in Medicare?

No. Evan Jacobson has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Evan Jacobson was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.