DR. KRISTIN E. JACOBS PSY.D., L.P.
NPI 1801251509
Psychologist in Minneapolis, MN

Active since December 22, 2015PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2450 RIVERSIDE AVE STE F140, MINNEAPOLIS, MN 55454(612) 672-6999 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2023, Oct 23, 2019, Dec 22, 2015 (3 updates tracked since 2015).

About Dr. Kristin E. Jacobs Psy.d., L.p. NPPES

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

DR. KRISTIN E. JACOBS PSY.D., L.P. (NPI 1801251509) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP5943) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1801251509
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KRISTIN E. JACOBSCredential: PSY.D., L.P.
Location Address2450 RIVERSIDE AVE STE F140Minneapolis, MN 55454-1450
Mailing AddressPo Box 43Minneapolis, MN 55440-0043 · (612) 262-1166 · Fax (612) 262-9035
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 22, 2015
Last NPPES UpdateFebruary 15, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
✔ NPI 1801251509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP5943
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP5943 (MN)
2450 RIVERSIDE AVE STE F140, Minneapolis, MN 55454

Secondary Practice Location 1

Location 1920 E 28th St Ste 460Minneapolis, MN 55407-1286 · Phone (612) 863-7501

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

Dr. Kristin E. Jacobs Psy.d., L.p. 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 ID3476859968
PECOS Enrollment IDI20160309001467
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kristin Jacobs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Family Medicine
3024 SNELLING AVE S
Minneapolis, MN 55406
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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 Kristin Jacobs's NPI number?

The NPI number for Kristin Jacobs is 1801251509. It was assigned to this individual provider in the NPPES registry on December 22, 2015.

Where is Kristin Jacobs located?

Kristin Jacobs practices at 2450 Riverside Ave Ste F140, Minneapolis, MN 55454. The listed phone number is (612) 672-6999.

What is Kristin Jacobs's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kristin Jacobs enrolled in Medicare?

Yes. Kristin Jacobs 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 Kristin Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Jacobs reassigns Medicare benefits to 3 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and Allina Health System (Minneapolis, MN). 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 Kristin Jacobs'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 Kristin Jacobs was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.