DR. RONI MARIE JACOBSEN MD
NPI 1700047131
Internal Medicine - Adult Congenital Heart Disease in Aurora, CO

Q: What is Roni Jacobsen's NPI number?

The NPI number for Roni Jacobsen is 1700047131. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Q: What is Roni Jacobsen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Q: When was this NPI record last updated?

The NPPES record for Roni Jacobsen was last updated on October 6, 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.

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

13123 E 16TH AVE, AURORA, CO 80045(720) 777-3365(720) 777-7178 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2020, Jun 29, 2017 (2 updates tracked since 2017).

On this page

About Dr. Roni Marie Jacobsen Md NPPES

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

DR. RONI MARIE JACOBSEN MD (NPI 1700047131) is an individual adult congenital heart disease provider in Aurora, Colorado, licensed in Colorado (DR.0058703) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1700047131

Entity TypeIndividualFemale

Primary Taxonomy207RA0002X

Provider Legal NameDR. RONI MARIE JACOBSENCredential: MD

Location Address13123 E 16TH AVEAurora, CO 80045-7106

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 777-3365

Fax(720) 777-7178

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 18, 2008

Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration

NPPES CertifiedOctober 6, 2020

✔ NPI 1700047131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Adult Congenital Heart DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RA0002X

License✔ Licensed in CO · DR.0058703

Definition

A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.

Also ListedInternal MedicineTaxonomy 207R00000X · License 70805 (AZ)

Also ListedPediatricsTaxonomy 208000000X · License 57002 (WI)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License DR.0058703 (CO)

13123 E 16TH AVE, Aurora, CO 80045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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

Dr. Roni Marie Jacobsen Md 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 ID3274798095

PECOS Enrollment IDI20171009000130, I20200202000011, I20260331003732

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 Reassignments

Medicare enrollment records show Roni Jacobsen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians Incorporated

0.1 mi

Pediatrics

13123 E 16TH AVE
Aurora, CO 80045

Reassigned Medicare billing, Colorado and Wyoming enrollments
Also billed through NPI 1962461889 (Wyoming)
4,283 clinicians in this Medicare group

NPI 1083662498 (720) 777-1234

Billings Clinic

395 mi

Family Medicine

201 YELLOWSTONE AVE
Cody, WY 82414

Reassigned Medicare billing, Montana and Colorado enrollments
Also billed through NPI 1376598714 (Colorado)
1,264 clinicians in this Medicare group

NPI 1346288347 (307) 527-7561

Scl Health Medical Group - Billings LLC

458 mi

Clinic/Center

1233 N 30TH ST
Billings, MT 59101

Reassigned Medicare billing, Montana enrollment
438 clinicians in this Medicare group

NPI 1508289703 (406) 237-7700

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 4

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.

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

34 services32 patients

Ultrasound of heart for congenital defect 93303

An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.

29 services29 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

29 services29 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

24 services23 patients

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

ERIN TERAVEST PA

Physician Assistant (Surgical)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MELISSA KAY FRAZER AA-C

Anesthesiologist Assistant

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

RACHEL MARIE RANWEILER

Registered Nurse (Neonatal Intensive Care)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-6857

DR. KATHRYN LYN PEGAN AU.D.

Audiologist

13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045

Adams County (720) 777-1961

MRS. KRISTEN L HOLDER FNP-C, APRN-BC

Nurse Practitioner (Psychiatric/Mental Health)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MRS. JILL M MARKS RN, APN

Nurse Practitioner (Pediatrics)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MRS. WENDELYN M BARRETT NNP

Registered Nurse (Neonatal Intensive Care)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-6857

DR. TIMOTHY OWEN VANDERKOOY MD

Emergency Medicine (Pediatric Emergency Medicine)

13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

Adams County (720) 777-1234

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 Roni Jacobsen's NPI number?

The NPI number for Roni Jacobsen is 1700047131. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Roni Jacobsen located?

Roni Jacobsen practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-3365.

What is Roni Jacobsen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Is Roni Jacobsen enrolled in Medicare?

Yes. Roni 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 Roni Jacobsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roni Jacobsen reassigns Medicare benefits to 3 organizations: University Physicians Incorporated (Aurora, CO), Billings Clinic (Cody, WY) and Scl Health Medical Group - Billings LLC (Billings, MT). 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 Roni Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roni Jacobsen accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Roni 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.

When was this NPI record last updated?

The NPPES record for Roni Jacobsen was last updated on October 6, 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.