KRISTEN JACOBS M.D.
NPI 1962594929
Pathology - Anatomic Pathology & Clinical Pathology in South Bend, IN

Q: What is Kristen Jacobs's NPI number?

The NPI number for Kristen Jacobs is 1962594929. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Kristen Jacobs's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Jacobs was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 28, 2006PECOS EnrolledAccepts Medicare Assignment

3355 DOUGLAS RD, SOUTH BEND, IN 46635(574) 234-4176 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kristen Jacobs M.d. NPPES

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

KRISTEN JACOBS M.D. (NPI 1962594929) is an individual anatomic pathology & clinical pathology provider in South Bend, Indiana, licensed in Indiana (01037063) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962594929

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameKRISTEN JACOBSCredential: M.D.

Location Address3355 DOUGLAS RDSouth Bend, IN 46635-1779

Mailing Address3355 Douglas RdSouth Bend, IN 46635-1779 · (574) 234-4176 · Fax (574) 234-1561

Phone(574) 234-4176

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1984

Enumeration DateSeptember 28, 2006

Last NPPES UpdateJanuary 5, 2024

NPPES CertifiedJanuary 5, 2024

✔ NPI 1962594929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in IN · 01037063✔ Licensed in MI · 4301055183

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3355 DOUGLAS RD, South Bend, IN 46635

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Secondary Practice Locations 2

Location 11521 Gull RdKalamazoo, MI 49048-1640 · Phone (269) 226-7231

Location 2530 N. Lafayette BlvdSouth Bend, IN 46601-1098 · Phone (574) 234-4176 ext. 1396 · Fax (574) 234-1561

Accepted Insurance

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

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

Kristen Jacobs M.d. 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 ID7416146022

PECOS Enrollment IDI20110113000384, I20230906002849

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.

Medicare Billing Reassignments

Medicare enrollment records show Kristen Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Path LLC

Same address

Anatomic Pathology & Clinical Pathology

3355 DOUGLAS RD
South Bend, IN 46635

Reassigned Medicare billing, Indiana and Michigan enrollments
18 clinicians in this Medicare group

NPI 1205693728 (574) 234-4176

South Bend Medical Foundation, Inc

Same address

Anatomic Pathology & Clinical Pathology

3355 DOUGLAS RD
South Bend, IN 46635

Reassigned Medicare billing, Indiana and Michigan enrollments
Also billed through NPI 1922623305 (Michigan)
19 clinicians in this Medicare group

NPI 1649241084 (574) 234-4176

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 11

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

643 services401 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

186 services47 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

83 services76 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

81 services66 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

67 services63 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

55 services52 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 12

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

ANN H MOORE R.PH

Pharmacist