ANNELISE JACOBSON
NPI 1780557140
Nurse Practitioner - Family in Iowa City, IA

Q: What is Annelise Jacobson's NPI number?

The NPI number for Annelise Jacobson is 1780557140. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Annelise Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Annelise Jacobson was last updated on November 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 23, 2025PECOS Enrolled

200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-2496 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Annelise Jacobson NPPES

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

ANNELISE JACOBSON (NPI 1780557140) is an individual family provider in Iowa City, Iowa, licensed in Iowa (A187172) and active in the NPI registry since September 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780557140

Entity TypeIndividual

Primary Taxonomy363LF0000X

Provider Legal NameANNELISE JACOBSON

Location Address200 HAWKINS DRIowa City, IA 52242-1009

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-2902 · Fax (319) 353-7145

Phone(319) 356-2496

Sole ProprietorNo

Enumeration DateSeptember 23, 2025

Last NPPES UpdateNovember 12, 2025

NPPES CertifiedNovember 12, 2025

✔ NPI 1780557140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A187172

200 HAWKINS DR, Iowa City, IA 52242

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annelise Jacobson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

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.

JAMIE RAY HANES PHARMD

Pharmacist