JANE C JACOBSON C.R.N.A.
NPI 1710936091
Nurse Anesthetist, Certified Registered in Port Huron, MI

Active since May 06, 2006Accepts Medicare Assignment
1221 PINE GROVE AVE, PORT HURON, MI 48060(810) 987-5000(810) 985-2633 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jane C Jacobson C.r.n.a. NPPES

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

JANE C JACOBSON C.R.N.A. (NPI 1710936091) is an individual nurse anesthetist, certified registered in Port Huron, Michigan, licensed in Michigan (4704205825) and active in the NPI registry since May 2006. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1710936091
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJANE C JACOBSONCredential: C.R.N.A.
Location Address1221 PINE GROVE AVEPort Huron, MI 48060-3511
Mailing Address1221 Pine Grove AvePort Huron, MI 48060-3511 · (810) 987-5000 · Fax (810) 985-2633
Fax(810) 985-2633
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1710936091 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
License✔ Licensed in MI · 4704205825
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.
1221 PINE GROVE AVE, Port Huron, MI 48060

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

Jane C Jacobson C.r.n.a. 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 ID1759305899
PECOS Enrollment IDI20060117000521

Medicare Billing Reassignments

5

Medicare enrollment records show Jane Jacobson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
245 S RIDGE ST
Port Sanilac, MI 48469
  • Reassigned Medicare billing, Michigan enrollment
  • 154 clinicians in this Medicare group
General Practice
650 W SANILAC RD
Sandusky, MI 48471
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1952120859 (Michigan)
  • 123 clinicians in this Medicare group
Critical Access
120 N DELAWARE ST
Sandusky, MI 48471
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
General Practice
2985 MAIN ST
Marlette, MI 48453
  • Reassigned Medicare billing, Michigan enrollment
  • 155 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 359 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
Registered Nurse
1221 PINE GROVE AVE
PORT HURON, MI 48060
Clinic/Center (Magnetic Resonance Imaging (MRI))
1221 PINE GROVE AVE
PORT HURON, MI 48060
Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
Obstetrics & Gynecology
1221 PINE GROVE AVE
PORT HURON, MI 48060
Nurse Anesthetist, Certified Registered
1221 PINE GROVE AVE
PORT HURON, MI 48060
Emergency Medicine
1221 PINE GROVE AVE, PORT HURON HOSPITAL EMERGENCY DEPT
PORT HURON, MI 48060
Physical Therapist
1221 PINE GROVE AVE
PORT HURON, MI 48060

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 Jane Jacobson's NPI number?

The NPI number for Jane Jacobson is 1710936091. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Jane Jacobson located?

Jane Jacobson practices at 1221 Pine Grove Ave, Port Huron, MI 48060. The listed phone number is (810) 987-5000.

What is Jane Jacobson's specialty?

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

Is Jane Jacobson enrolled in Medicare?

Yes. Jane Jacobson 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 Jane Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Jacobson reassigns Medicare benefits to 5 organizations: Deckerville Community Hospital, Inc (Port Sanilac, MI), Hills & Dales General Hospital, Inc. (Sandusky, MI), Mckenzie Memorial Hospital (Sandusky, MI), Marlette Regional Hospital (Marlette, MI) and Asa Staffing Inc (Rochester, MI). 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 Jane Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jane Jacobson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Jane Jacobson 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 Jane Jacobson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.