TYLER ANDREW JACOBSON
NPI 1649829748
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Tyler Jacobson's NPI number?

The NPI number for Tyler Jacobson is 1649829748. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Q: What is Tyler Jacobson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Jacobson was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 11, 2019PECOS Enrolled

240 E HURON ST STE 1-200, CHICAGO, IL 60611(312) 503-7975 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tyler Andrew Jacobson NPPES

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

TYLER ANDREW JACOBSON (NPI 1649829748) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649829748

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTYLER ANDREW JACOBSON

Location Address240 E HURON ST STE 1-200Chicago, IL 60611-2909

Mailing Address240 E Huron St Ste 1-200Chicago, IL 60611-2909 · (312) 503-7975

Phone(312) 503-7975

Sole ProprietorNo

Enumeration DateSeptember 11, 2019

✔ NPI 1649829748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

240 E HURON ST STE 1-200, Chicago, IL 60611

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Andrew Jacobson 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.

Leave this field empty

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.

CLAYTON LYONS

Student in an Organized Health Care Education/Training Program