Jason Robert Jacobson, APRN - Medicare Nurse Practitioner in Jacksonville, FL

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Jason Robert Jacobson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. His current practice location is 12428 San Jose Blvd Ste 4, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (602) 403-9466.

Jason Robert Jacobson is licensed to practice in Florida (license number APRN11003000) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104456565.

Contact Information

Jason Robert Jacobson, APRN
12428 San Jose Blvd Ste 4,
Jacksonville, FL 32223-8617
(602) 403-9466
(602) 708-5615

Map and Direction




Provider's Profile

Full NameJason Robert Jacobson
GenderMale
SpecialityNurse Practitioner - Family
Location12428 San Jose Blvd Ste 4, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104456565
  • Provider Enumeration Date: 01/23/2020
  • Last Update Date: 09/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3173950839
  • Enrollment ID: I20200220000521

Medical Identifiers

Medical identifiers for Jason Robert Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104456565NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 13915782-4405 (Utah)Secondary
363L00000XNurse Practitioner 870426 (Nevada)Secondary
363L00000XNurse Practitioner AC003602 (Maryland)Secondary
363L00000XNurse Practitioner 294465 (Arizona)Secondary
363L00000XNurse Practitioner 0024193643 (Virginia)Secondary
363L00000XNurse Practitioner AP61509339 (Washington)Secondary
363LF0000XNurse Practitioner - Family APRN11003000 (Florida)Primary
363L00000XNurse Practitioner APRN11003000 (Florida)Secondary
363L00000XNurse Practitioner 95032140 (California)Secondary
363L00000XNurse Practitioner 1170150 (Texas)Secondary
363L00000XNurse Practitioner 10020817 (Oregon)Secondary
363L00000XNurse Practitioner 8155 (Minnesota)Secondary
363L00000XNurse Practitioner F352405-01 (New York)Secondary

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. Jason Robert Jacobson allows following entities to bill medicare on his behalf.
Entity NameEmergency Medical Specialists of Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295738367
PECOS PAC ID: 2668361080
Enrollment ID: O20040313000203
Entity NameSolantic of Jacksonville LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407893100
PECOS PAC ID: 1052409307
Enrollment ID: O20071120000271
Entity NameShands-solantic Joint Venture LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558595223
PECOS PAC ID: 4183764178
Enrollment ID: O20091223000343
Entity NameFl-i Medical Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750655106
PECOS PAC ID: 9133381809
Enrollment ID: O20120426000191
Entity NameEmergency Medicine Services of FL LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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. Jason Robert Jacobson 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
Jason Robert Jacobson, APRN
1119 Natures Hammock Rd N,
St Johns, FL 32259-2891

Ph: (602) 403-9466		Jason Robert Jacobson, APRN
12428 San Jose Blvd Ste 4,
Jacksonville, FL 32223-8617

Ph: (602) 403-9466

Reviews and Comments


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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.