MATTHEW ROY JACOBSEN CRNA
NPI 1669454476
Nurse Anesthetist, Certified Registered in Houston, TX

Active since November 17, 2005Accepts Medicare Assignment
93.5/100
CMS Quality Rating
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042(713) 620-4000 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Roy Jacobsen Crna NPPES

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

MATTHEW ROY JACOBSEN CRNA (NPI 1669454476) is an individual nurse anesthetist, certified registered in Houston, Texas, licensed in Texas (AP114088) and active in the NPI registry since November 2005. He is affiliated with Hca Houston Healthcare Tomball, maintains a secondary practice location in Spring, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1669454476
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMATTHEW ROY JACOBSENCredential: CRNA
Location Address1500 CITYWEST BLVD STE 300Houston, TX 77042-2549
Mailing AddressPo Box 840853Dallas, TX 75284-8423 · (713) 620-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 17, 2005
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1669454476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in TX · AP114088✔ Licensed in TX · 688836
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1500 CITYWEST BLVD STE 300, Houston, TX 77042

Secondary Practice Location 1

Location 117207 Kuykendahl Rd, #200Spring, TX 77379-8423 · Phone (832) 698-5320 · Fax (832) 698-5321

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Roy Jacobsen Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153351788
PECOS Enrollment IDI20050815000145

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Jacobsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group
Anesthesiology
17207 KUYKENDAHL RD, SUITE 220
Spring, TX 77379
  • Reassigned Medicare billing, Texas enrollment
  • 220 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services22 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
16 services16 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77042 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

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.

Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042
Anesthesiologist Assistant
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042
Anesthesiology
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042

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 Matthew Jacobsen's NPI number?

The NPI number for Matthew Jacobsen is 1669454476. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Matthew Jacobsen located?

Matthew Jacobsen practices at 1500 Citywest Blvd Ste 300, Houston, TX 77042. The listed phone number is (713) 620-4000.

What is Matthew Jacobsen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Matthew Jacobsen enrolled in Medicare?

Yes. Matthew Jacobsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Jacobsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Jacobsen reassigns Medicare benefits to 2 organizations: U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX) and Best Choice Anesthesia & Pain PLLC (Spring, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Jacobsen accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Matthew Jacobsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Jacobsen affiliated with any hospitals?

According to CMS data, Matthew Jacobsen is affiliated with Hca Houston Healthcare Tomball.

When was this NPI record last updated?

The NPPES record for Matthew Jacobsen was last updated on April 28, 2020. 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.