KAYLA MARIE JACOBSON
NPI 1770304016
Nurse Practitioner in Marinette, WI
About Kayla Marie Jacobson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLA MARIE JACOBSON (NPI 1770304016) is an individual nurse practitioner in Marinette, Wisconsin, licensed in Wisconsin (16541) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Kayla Marie Jacobson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kayla Jacobson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 394 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Medical Ctr Manitowoc County
Acute Care Hospitals · Two Rivers, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54143 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARINETTE, WI 54143
MARINETTE, WI 54143
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 Kayla Jacobson's NPI number?
The NPI number for Kayla Jacobson is 1770304016. It was assigned to this individual provider in the NPPES registry on October 19, 2024.
Where is Kayla Jacobson located?
Kayla Jacobson practices at 4061 Old Peshtigo Rd, Marinette, WI 54143. The listed phone number is (715) 732-8000.
What is Kayla Jacobson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kayla Jacobson enrolled in Medicare?
Yes. Kayla 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 Kayla Jacobson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Jacobson reassigns Medicare benefits to 2 organizations: Baycare Aurora, LLC (Green Bay, WI) and Aurora Medical Group, Inc. (Sheboygan, WI). 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 Kayla Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kayla Jacobson accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Kayla 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.
Is Kayla Jacobson affiliated with any hospitals?
According to CMS data, Kayla Jacobson is affiliated with Aurora Medical Ctr Manitowoc County.
When was this NPI record last updated?
The NPPES record for Kayla Jacobson was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kayla Marie Jacobson · NPI 1770304016
Nurse Practitioner physician in Marinette, Wisconsin. Individual provider, active in the CMS NPPES registry since October 19, 2024.
## Identity
- **NPI:** 1770304016 (Entity type: Individual)
- **Enumerated:** October 19, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 16541 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 4061 OLD PESHTIGO RD, Marinette, WI 54143-3887
- **Phone:** (715) 732-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Baycare Aurora, LLC (NPI 1255387726, Green Bay, WI); Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 17, 2026
- **Other identifiers:** Medicaid 100309907 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1770304016) · Data from the CMS NPPES public registry.