LISA JACOBSON D.O., P.C.
NPI 1831333715
Otolaryngology - Plastic Surgery within the Head & Neck in Cadillac, MI
About Lisa Jacobson D.o., P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA JACOBSON D.O., P.C. (NPI 1831333715) is a healthcare organization registered as a plastic surgery within the head & neck in Cadillac, Michigan and active in the NPI registry since April 2009. The organization lists Lisa Jacobson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Jacobson D.o., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lisa Jacobson D.O., P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lisa Jacobson D.O., P.C.'s NPI number?
The NPI number for Lisa Jacobson D.O., P.C. is 1831333715. It was assigned to this organization in the NPPES registry on April 23, 2009.
Where is Lisa Jacobson D.O., P.C. located?
Lisa Jacobson D.O., P.C. is located at 8872 Professional Dr Suite A, Cadillac, MI 49601. The listed phone number is (231) 779-6260.
What is Lisa Jacobson D.O., P.C.'s specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.
Is Lisa Jacobson D.O., P.C. enrolled in Medicare?
Yes. Lisa Jacobson D.O., P.C. is registered in the Medicare PECOS enrollment system.
When is Lisa Jacobson D.O., P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lisa Jacobson D.O., P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lisa Jacobson D.O., P.C., in Nurse Practitioner and Otolaryngology. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lisa Jacobson D.O., P.C. accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lisa Jacobson D.O., P.C. 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 Lisa Jacobson D.O., P.C. was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lisa Jacobson D.o., P.c. · NPI 1831333715
Plastic Surgery within the Head & Neck organization in Cadillac, Michigan. Organization record, active in the CMS NPPES registry since April 23, 2009.
## Identity
- **NPI:** 1831333715 (Entity type: Organization)
- **Enumerated:** April 23, 2009
- **Primary specialty:** Otolaryngology - Plastic Surgery within the Head & Neck · taxonomy 207YX0007X
- **Organization subpart:** No
- **Authorized official:** Lisa Jacobson, OWNER
## Practice location
- **Address:** 8872 PROFESSIONAL DR, SUITE A, Cadillac, MI 49601-8481
- **Phone:** (231) 779-6260 · **Fax:** (231) 779-6264
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Otolaryngology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2019
- **Other identifiers:** Medicaid 4420424 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1831333715) · Data from the CMS NPPES public registry.