JACE DOUGLAS JACOBSEN
NPI 1871116004
Nurse Anesthetist, Certified Registered in Huntington Beach, CA
About Jace Douglas Jacobsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACE DOUGLAS JACOBSEN (NPI 1871116004) is an individual nurse anesthetist, certified registered in Huntington Beach, California, licensed in California (95001352) and active in the NPI registry since May 2020. He is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Jace Douglas Jacobsen 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 Reassignments
8Medicare enrollment records show Jace Jacobsen reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bakersfield, CA 93306
- Reassigned Medicare billing, California enrollment
- 96 clinicians in this Medicare group
Bakersfield, CA 93301
- Reassigned Medicare billing, California enrollment
- 56 clinicians in this Medicare group
Arroyo Grande, CA 93420
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
San Luis Obispo, CA 93405
- Reassigned Medicare billing, California enrollment
- 42 clinicians in this Medicare group
Visalia, CA 93291
- Reassigned Medicare billing, California enrollment
- 131 clinicians in this Medicare group
Fresno, CA 93611
- Reassigned Medicare billing, California enrollment
- 508 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 293 clinicians in this Medicare group
Salinas, CA 93906
- Reassigned Medicare billing, California enrollment
- 68 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jace Jacobsen's NPI number?
The NPI number for Jace Jacobsen is 1871116004. It was assigned to this individual provider in the NPPES registry on May 21, 2020.
Where is Jace Jacobsen located?
Jace Jacobsen practices at 6442 Gloria Dr, Huntington Beach, CA 92647. The listed phone number is (805) 814-2463.
What is Jace Jacobsen's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jace Jacobsen enrolled in Medicare?
Yes. Jace 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 organizations bill Medicare for Jace Jacobsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jace Jacobsen reassigns Medicare benefits to 8 organizations: Regional Anesthesia Associates Inc (Bakersfield, CA), Excelle Anesthesia Services, Inc. (Bakersfield, CA), Mvg Anesthesia Inc A Professional Nursing Corporation (Arroyo Grande, CA), Associated Anesthesiologists Of The Central Coast (San Luis Obispo, CA), Oak Creek Anesthesia Services, Inc. (Visalia, CA) and 3 more organizations, listed in the Medicare section above. Each 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 Jace Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jace Jacobsen was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jace Douglas Jacobsen · NPI 1871116004
Nurse Anesthetist, Certified Registered physician in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since May 21, 2020.
## Identity
- **NPI:** 1871116004 (Entity type: Individual)
- **Enumerated:** May 21, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001352 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6442 GLORIA DR, Huntington Beach, CA 92647-4226
- **Phone:** (805) 814-2463
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Regional Anesthesia Associates Inc (NPI 1811442874, Bakersfield, CA); Excelle Anesthesia Services, Inc. (NPI 1689317208, Bakersfield, CA); Mvg Anesthesia Inc A Professional Nursing Corporation (NPI 1427747104, Arroyo Grande, CA); Associated Anesthesiologists Of The Central Coast (NPI 1619963576, San Luis Obispo, CA); Oak Creek Anesthesia Services, Inc. (NPI 1619589512, Visalia, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871116004) · Data from the CMS NPPES public registry.