TAMMY SUE JACOBSON APN
NPI 1861779290
Nurse Practitioner - Family in Canton, OH

Q: What is Tammy Jacobson's NPI number?

The NPI number for Tammy Jacobson is 1861779290. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Q: What is Tammy Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Jacobson was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 14, 2011PECOS Enrolled

2600 SIXTH ST SW, CANTON, OH 44710(330) 363-9190 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tammy Sue Jacobson Apn NPPES

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

TAMMY SUE JACOBSON APN (NPI 1861779290) is an individual family provider in Canton, Ohio, licensed in Ohio (COA-12769-NP) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861779290

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAMMY SUE JACOBSONCredential: APN

Location Address2600 SIXTH ST SWCanton, OH 44710-1702

Mailing Address2600 Sixth St SwCanton, OH 44710-1702 · (330) 363-9190

Phone(330) 363-9190

Sole ProprietorNo

Enumeration DateNovember 14, 2011

✔ NPI 1861779290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · COA-12769-NP

2600 SIXTH ST SW, Canton, OH 44710

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy Sue Jacobson Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

CHELSEA FLIGHT CNP

Nurse Practitioner