Kippen Marshall Jacobson, NP C - Medicare Nurse Practitioner in Glennallen, AK

  1. Home
  2. Nurse Practitioner
  3. AK
  4. Glennallen
Kippen Marshall Jacobson, NP C is a medicare enrolled "Nurse Practitioner - Family" in Glennallen, Alaska. His current practice location is Mile 187 Glenn Hwy, Glennallen, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 822-3203.

Kippen Marshall Jacobson is licensed to practice in Alaska (license number 960) 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 1497802920.

Contact Information

Kippen Marshall Jacobson, NP C
Mile 187 Glenn Hwy,
Glennallen, AK 99588-0589
(907) 822-3203
(907) 822-5805

Map and Direction




Provider's Profile

Full NameKippen Marshall Jacobson
GenderMale
SpecialityNurse Practitioner - Family
LocationMile 187 Glenn Hwy, Glennallen, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497802920
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 11/11/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9931277837
  • Enrollment ID: I20220118001015

Medical Identifiers

Medical identifiers for Kippen Marshall Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497802920NPI-NPPES
1497802920OtherAKNPI NUMBER
K161914OtherAKMEDICARE PTAN
RH047FQMedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 960 (Alaska)Primary

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. Kippen Marshall 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
Kippen Marshall Jacobson, NP C
Po Box 5,
Glennallen, AK 99588-0589

Ph: (907) 822-3203		Kippen Marshall Jacobson, NP C
Mile 187 Glenn Hwy,
Glennallen, AK 99588-0589

Ph: (907) 822-3203

Reviews and Comments


Nurse Practitioner Nurses in Glennallen, AK

Clare Lattimore, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Mile 187 Glenn Hwy, Glennallen, AK 99588
Phone: 907-822-3203    Fax: 907-822-5805

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.