NATHAN DAVID JACOBSEN DO
NPI 1669310686
Student in an Organized Health Care Education/Training Program in Largo, FL

Q: What is Nathan Jacobsen's NPI number?

The NPI number for Nathan Jacobsen is 1669310686. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Nathan Jacobsen'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 Nathan Jacobsen was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 March 23, 2026PECOS Enrolled

201 14TH ST SW, LARGO, FL 33770(727) 588-5704 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Nathan David Jacobsen Do NPPES

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

NATHAN DAVID JACOBSEN DO (NPI 1669310686) is an individual student in an organized health care education/training program in Largo, Florida and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669310686

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNATHAN DAVID JACOBSENCredential: DO

Location Address201 14TH ST SWLargo, FL 33770-3133

Mailing Address201 14th St SwLargo, FL 33770-3133 · (727) 588-5704

Phone(727) 588-5704

Sole ProprietorNo

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1669310686 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.

201 14TH ST SW, Largo, FL 33770

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)

Nathan David Jacobsen Do 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.

DR. RAOUL RUDOLPH BOTHA MD

Internal Medicine