MR. JACOB TYLER ROBISON N.P.
NPI 1952778359
Nurse Practitioner - Family in Aberdeen, MS

Active since September 01, 2015PECOS EnrolledAccepts Medicare Assignment
502 JACKSON ST, SUITE 5, ABERDEEN, MS 39730(662) 369-9500 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Sep 20, 2019 (2 updates tracked since 2019).

About Mr. Jacob Tyler Robison N.p. NPPES

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

MR. JACOB TYLER ROBISON N.P. (NPI 1952778359) is an individual family provider in Aberdeen, Mississippi, licensed in Washington (AP61017451) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1952778359
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JACOB TYLER ROBISONCredential: N.P.
Location Address502 JACKSON ST, SUITE 5Aberdeen, MS 39730-3300
Mailing Address403 E 11th StPanama City, FL 32401-3409 · (850) 747-5599 · Fax (850) 872-4131
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 1, 2015
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1952778359 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
Licenses Licensed in WA · AP61017451 Licensed in MS · R888153
502 JACKSON ST, Aberdeen, MS 39730

Secondary Practice Location 1

Location 116811 SE McGillivray BlvdVancouver, WA 98683-3404 · Phone (360) 696-5223 · Fax (360) 696-5228

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

Mr. Jacob Tyler Robison N.p. 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 ID3274842174
PECOS Enrollment IDI20240708000734
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

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39730 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
502 JACKSON ST, SUITE 4
ABERDEEN, MS 39730
Clinic/Center (Rural Health)
502 JACKSON ST, SUITE 4
ABERDEEN, MS 39730
Nurse Practitioner (Family)
502 JACKSON ST, SUITE 5
ABERDEEN, MS 39730
Clinic/Center
502 JACKSON ST, SUITE 5
ABERDEEN, MS 39730
Clinic/Center (Rural Health)
502 JACKSON ST, SUITE 5
ABERDEEN, MS 39730
Pharmacy (Community/Retail Pharmacy)
502 JACKSON ST, SUITE 1
ABERDEEN, MS 39730

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 Robison's NPI number?

The NPI number for Jacob Robison is 1952778359. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Jacob Robison located?

Jacob Robison practices at 502 Jackson St Suite 5, Aberdeen, MS 39730. The listed phone number is (662) 369-9500.

What is Jacob Robison's specialty?

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

Is Jacob Robison enrolled in Medicare?

Yes. Jacob Robison 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 Robison accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacob Robison 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 Robison affiliated with any hospitals?

According to CMS data, Jacob Robison is affiliated with Peacehealth Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Robison was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.