KENDRA L JACOBSON P.A.-C
NPI 1982644167
Physician Assistant in Concord, CA

Q: What is Kendra Jacobson's NPI number?

The NPI number for Kendra Jacobson is 1982644167. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Kendra Jacobson'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 Kendra Jacobson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 07, 2006PECOS Enrolled

2540 EAST ST, CONCORD, CA 94520(925) 682-8200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kendra L Jacobson P.a.-c NPPES

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

KENDRA L JACOBSON P.A.-C (NPI 1982644167) is an individual physician assistant in Concord, California, licensed in California (PA16398) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982644167

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENDRA L JACOBSONCredential: P.A.-C

Location Address2540 EAST STConcord, CA 94520-1906

Mailing Address2100 Powell Street, Suite 900Emeryville, CA 94608-1803 · (510) 350-2657

Phone(925) 682-8200

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1982644167 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 CA · PA16398

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.

2540 EAST ST, Concord, CA 94520

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Other Identifiers 1

Medicare UPINS62997CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra L Jacobson P.a.-c 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 94520 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

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.

MS. COLLEEN MARIE STAGG PHARMD

Pharmacist