KIMBERLY K JACOBSEN MD
NPI 1851786248
Anesthesiology in Plymouth, MN

Q: What is Kimberly Jacobsen's NPI number?

The NPI number for Kimberly Jacobsen is 1851786248. It was assigned to this individual provider in the NPPES registry on April 1, 2015. The provider is also known as Kimberly K Phillips MD.

Q: What is Kimberly Jacobsen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jacobsen was last updated on November 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment

80.46/100

CMS Quality Rating

14700 28TH AVE N STE 20, PLYMOUTH, MN 55447(763) 559-3779(763) 450-3986 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2024, Jul 17, 2023, Jun 12, 2023 and 1 more (4 updates tracked since 2020).

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About Kimberly K Jacobsen Md NPPES

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

KIMBERLY K JACOBSEN MD (NPI 1851786248) is an individual anesthesiology provider in Plymouth, Minnesota, licensed in Minnesota (78154) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Creighton University School Of Medicine (2015).

NPPES Registry Identity

NPI1851786248

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameKIMBERLY K JACOBSENCredential: MD

Location Address14700 28TH AVE N STE 20Plymouth, MN 55447-4876

Mailing AddressPo Box 47159Plymouth, MN 55447-0159 · (763) 559-3779 · Fax (763) 450-3986

Phone(763) 559-3779

Fax(763) 450-3986

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2015

Enumeration DateApril 1, 2015

Last NPPES UpdateNovember 10, 20244 updates tracked since enumeration

NPPES CertifiedNovember 10, 2024

✔ NPI 1851786248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in MN · 78154✔ Licensed in WI · 66773

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 66773 (WI)

14700 28TH AVE N STE 20, Plymouth, MN 55447

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Other Names 1

Former Name (1)Kimberly K Phillips Md

Other Identifiers 1

Medicaid1851786248WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Kimberly K Jacobsen Md 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 ID42634479

PECOS Enrollment IDI20241126002149

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.

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240038

Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County

Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

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.

80.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.24

Promoting Interoperability

100

Improvement Activities

Cost

68.64

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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.

PETER WILLIAM COLEMAN

Anesthesiology