DR. TIFFANY M JACOBSEN PSYD
NPI 1821360199
Psychologist - Clinical in Milwaukee, WI
About Dr. Tiffany M Jacobsen Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIFFANY M JACOBSEN PSYD (NPI 1821360199) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (3720-57) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brookfield, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 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
Dr. Tiffany M Jacobsen Psyd 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 Reassignment
Medicare enrollment records show Tiffany Jacobsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brookfield, WI 53005
- Reassigned Medicare billing, Wisconsin enrollment
- 556 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 53227 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 2
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 Tiffany Jacobsen's NPI number?
The NPI number for Tiffany Jacobsen is 1821360199. It was assigned to this individual provider in the NPPES registry on February 2, 2012.
Where is Tiffany Jacobsen located?
Tiffany Jacobsen practices at 2448 S 102nd St Ste 270, Milwaukee, WI 53227. The listed phone number is (414) 800-7645.
What is Tiffany Jacobsen's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Tiffany Jacobsen enrolled in Medicare?
Yes. Tiffany Jacobsen 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 organization bills Medicare for Tiffany Jacobsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Jacobsen reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, WI). 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 Tiffany Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Jacobsen accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Tiffany Jacobsen 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.
When was this NPI record last updated?
The NPPES record for Tiffany Jacobsen was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Tiffany M Jacobsen, PSYD · NPI 1821360199
Clinical provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since February 2, 2012.
## Identity
- **NPI:** 1821360199 (Entity type: Individual)
- **Enumerated:** February 2, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3720-57 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2448 S 102ND ST STE 270, Milwaukee, WI 53227-2147
- **Phone:** (414) 800-7645 · **Fax:** (414) 800-7647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cornerstone Counseling Services, Inc (NPI 1033127246, Brookfield, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821360199) · Data from the CMS NPPES public registry.