CHERYL L TAN-JACOBSON MD
NPI 1780604249
Pediatrics in Covington, WA
About Cheryl L Tan-jacobson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERYL L TAN-JACOBSON MD (NPI 1780604249) is an individual pediatrics provider in Covington, Washington, licensed in Washington (MD00026388) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cheryl L Tan-jacobson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cheryl Tan-jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Covington, WA 98042
- Reassigned Medicare billing, Washington enrollment
- 4,383 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 98042 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.
COVINGTON, WA 98042
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 Cheryl Tan-jacobson's NPI number?
The NPI number for Cheryl Tan-jacobson is 1780604249. It was assigned to this individual provider in the NPPES registry on July 20, 2006.
Where is Cheryl Tan-jacobson located?
Cheryl Tan-jacobson practices at 17700 SE 272nd St, Covington, WA 98042. The listed phone number is (253) 372-7156.
What is Cheryl Tan-jacobson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Cheryl Tan-jacobson enrolled in Medicare?
Yes. Cheryl Tan-jacobson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cheryl Tan-jacobson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cheryl Tan-jacobson reassigns Medicare benefits to Multicare Health System (Covington, WA). The 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 Cheryl Tan-jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Cheryl Tan-jacobson was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Cheryl L Tan-Jacobson, MD · NPI 1780604249
Pediatrics physician in Covington, Washington. Individual provider, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1780604249 (Entity type: Individual)
- **Enumerated:** July 20, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD00026388 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 17700 SE 272ND ST, Covington, WA 98042-4951
- **Phone:** (253) 372-7156
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Multicare Health System (NPI 1578803839, Covington, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1780604249) · Data from the CMS NPPES public registry.