JAKOB CARLSON PA
NPI 1871300665
Physician Assistant in Corvallis, OR

Q: What is Jakob Carlson's NPI number?

The NPI number for Jakob Carlson is 1871300665. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Q: What is Jakob Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jakob Carlson was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 December 16, 2024PECOS EnrolledAccepts Medicare Assignment

3620 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330(541) 768-4810 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jakob Carlson Pa NPPES

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

JAKOB CARLSON PA (NPI 1871300665) is an individual physician assistant in Corvallis, Oregon, licensed in Oregon (PA223663) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871300665

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJAKOB CARLSONCredential: PA

Location Address3620 NW SAMARITAN DR STE 202Corvallis, OR 97330-3785

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 768-4810

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 16, 2024

Last NPPES UpdateMay 2, 2025

NPPES CertifiedMay 2, 2025

✔ NPI 1871300665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · PA223663

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3620 NW SAMARITAN DR STE 202, Corvallis, OR 97330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Jakob Carlson 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 ID6103340583

PECOS Enrollment IDI20250407003055

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.

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

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 15

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

JONATHAN DAVID JONES MD

Internal Medicine (Rheumatology)