SAMUEL MCCLELLAN JACOBSEN
NPI 1720701766
Family Medicine in Layton, UT
About Samuel Mcclellan Jacobsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL MCCLELLAN JACOBSEN (NPI 1720701766) is an individual family medicine provider in Layton, Utah, licensed in Utah (14234126-1204) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Mcclellan Jacobsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mckay-Dee Hospital
Acute Care Hospitals · Ogden, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Jacobsen's NPI number?
The NPI number for Samuel Jacobsen is 1720701766. It was assigned to this individual provider in the NPPES registry on September 23, 2022.
Where is Samuel Jacobsen located?
Samuel Jacobsen practices at 201 W Layton Pkwy Ste 1A, Layton, UT 84041. The listed phone number is (801) 543-6875.
What is Samuel Jacobsen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samuel Jacobsen enrolled in Medicare?
Yes. Samuel Jacobsen is registered in the Medicare PECOS enrollment system.
Is Samuel Jacobsen affiliated with any hospitals?
According to CMS data, Samuel Jacobsen is affiliated with Mckay-Dee Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Jacobsen was last updated on November 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
