JACOB MICHELSEN PA
NPI 1841803533
Physician Assistant - Medical in Caldwell, ID

Active since August 24, 2020PECOS EnrolledAccepts Medicare Assignment
2005 ARLINGTON AVE, CALDWELL, ID 83605(208) 459-1025(208) 466-5359 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Michelsen Pa NPPES

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

JACOB MICHELSEN PA (NPI 1841803533) is an individual medical provider in Caldwell, Idaho and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1841803533
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB MICHELSENCredential: PA
Location Address2005 ARLINGTON AVECaldwell, ID 83605-4808
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 461-7149 · Fax (208) 467-3391
Fax(208) 466-5359
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
NPI 1841803533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2005 ARLINGTON AVE, Caldwell, ID 83605

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Michelsen Pa 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 ID8325453525
PECOS Enrollment IDI20210222001317
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
103 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services65 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
33 services24 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services19 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Valor Health

Critical Access Hospitals · Emmett, ID
OwnershipGovernment - Local
CMS Certification Number131318
Location1202 East Locust StreetEmmett, ID 83617 · Gem County
Emergency services

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
2005 ARLINGTON AVE
CALDWELL, ID 83605
Counselor (Professional)
2005 ARLINGTON AVE
CALDWELL, ID 83605
Social Worker
2005 ARLINGTON AVE
CALDWELL, ID 83605
Counselor
2005 ARLINGTON AVE
CALDWELL, ID 83605
Family Medicine
2005 ARLINGTON AVE
CALDWELL, ID 83605
Social Worker
2005 ARLINGTON AVE
CALDWELL, ID 83605
Physician Assistant (Medical)
2005 ARLINGTON AVE
CALDWELL, ID 83605
Social Worker
2005 ARLINGTON AVE
CALDWELL, ID 83605

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 Jacob Michelsen's NPI number?

The NPI number for Jacob Michelsen is 1841803533. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Where is Jacob Michelsen located?

Jacob Michelsen practices at 2005 Arlington Ave, Caldwell, ID 83605. The listed phone number is (208) 459-1025.

What is Jacob Michelsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacob Michelsen enrolled in Medicare?

Yes. Jacob Michelsen 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.

What insurance does Jacob Michelsen accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Jacob Michelsen 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.

Is Jacob Michelsen affiliated with any hospitals?

According to CMS data, Jacob Michelsen is affiliated with St Luke's Regional Medical Center and Valor Health.

When was this NPI record last updated?

The NPPES record for Jacob Michelsen was last updated on August 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.