DR. MICHELLE CHRISTINE JACOBSON M.D.
NPI 1639387848
Pediatrics in Denver, CO

Q: What is Michelle Jacobson's NPI number?

The NPI number for Michelle Jacobson is 1639387848. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Q: What is Michelle Jacobson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Jacobson was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 19, 2007PECOS Enrolled

1375 E 19TH AVE, DENVER, CO 80218(303) 338-4545 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2021, Mar 20, 2017 (2 updates tracked since 2017).

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About Dr. Michelle Christine Jacobson M.d. NPPES

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

DR. MICHELLE CHRISTINE JACOBSON M.D. (NPI 1639387848) is an individual pediatrics provider in Denver, Colorado, licensed in Colorado (50503) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639387848

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MICHELLE CHRISTINE JACOBSONCredential: M.D.

Location Address1375 E 19TH AVEDenver, CO 80218-1114

Mailing Address10350 E Dakota AveDenver, CO 80247-1314 · (303) 338-4545

Phone(303) 338-4545

Sole ProprietorNo

Enumeration DateMay 19, 2007

Last NPPES UpdateJune 11, 20212 updates tracked since enumeration

NPPES CertifiedJune 11, 2021

✔ NPI 1639387848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CO · 50503✔ Licensed in MI · 4301084104

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 4301084104 (MI)

1375 E 19TH AVE, Denver, CO 80218

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Other Identifiers 4

Medicaid1639387848MI

Other022197CO · Kaiser Commercial Number

Other1417961137MI · Bcbsm - Bronson

Medicaid02528517CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Christine Jacobson M.d. 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 Reassignment

Medicare enrollment records show Michelle Jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Colorado Permanente Medical Group, P.C.

6.1 mi

Internal Medicine

10350 E DAKOTA AVE
Denver, CO 80247

Reassigned Medicare billing, Colorado enrollment
Medicare enrollment name: Colorado Permanente Medical Group PC
1,715 clinicians in this Medicare group

NPI 1760599724 (303) 338-4545

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 80218 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 20

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

DR. HEATHER NICOLE ORTH MD

Emergency Medicine