Dr Kimberly Jacobsen, MD - Medicare Orthopedic Surgery in Maple Grove, MN

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Dr Kimberly Jacobsen, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Maple Grove, Minnesota. She went to Wayne State University School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice University Of Minnesota Physicians and her current practice location is 14500 99th Ave N Ste 100, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 898-1000.

Dr Kimberly Jacobsen is licensed to practice in Washington (license number MD60825838) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386945004.

Contact Information

Dr Kimberly Jacobsen, MD
14500 99th Ave N Ste 100,
Maple Grove, MN 55369-4738
(763) 898-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kimberly Jacobsen
GenderFemale
SpecialityOrthopedic Surgery
Experience15 Years
Location14500 99th Ave N Ste 100, Maple Grove, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kimberly Jacobsen attended and graduated from Wayne State University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1386945004
  • Provider Enumeration Date: 11/11/2010
  • Last Update Date: 11/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688976087
  • Enrollment ID: I20210921000498

Medical Identifiers

Medical identifiers for Dr Kimberly Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386945004NPI-NPPES
1386945004MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD60825838 (Washington)Secondary
207XX0801XOrthopaedic Surgery - Orthopaedic Trauma MD60825838 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Cloud HospitalSaint cloud, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Minnesota Physicians9830001189134

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Jacobsen allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Jacobsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kimberly Jacobsen, MD
Po Box 50095,
Seattle, WA 98145-5095

Ph: (206) 520-5700		Dr Kimberly Jacobsen, MD
14500 99th Ave N Ste 100,
Maple Grove, MN 55369-4738

Ph: (763) 898-1000

Reviews and Comments


Orthopaedic Surgery Doctors in Maple Grove, MN

James Buchanan Bircher, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369
Phone: 763-520-7870    Fax: 763-520-7580
Gregory R Hildebrand, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369
Phone: 952-806-5600    Fax: 952-993-1453
Matthew T Rasmussen, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369
Phone: 763-520-7870    Fax: 763-520-7580
Dr. Jon David Norberg, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9325 Upland Ln N Ste 255, Maple Grove, MN 55369
Phone: 763-465-4263    Fax: 763-314-2026
Jeffrey H.j. Nipper, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 9325 Upland Ln N Ste 205, Maple Grove, MN 55369
Phone: 763-416-0676    Fax: 763-416-0476
David Edward Hartigan, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369
Phone: 763-520-7870    Fax: 763-520-7580

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.