MS. ELIZABETH JOAN JACOBSEN PA-C
NPI 1154408631
Physician Assistant - Medical in Spokane Valley, WA
NPI Status: Active since November 01, 2006
Contact Information
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA
ZIP 99212
Phone: (509) 456-7414
Fax: (509) 624-0763
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
- Medicare Quality Reporting
About ELIZABETH JACOBSEN
This page provides the complete NPI Profile along with additional information for Elizabeth Jacobsen, a primary care provider established in Spokane Valley, Washington with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1154408631 assigned on November 2006. The practitioner's primary taxonomy code is 363AM0700X with license number PA60259472 (WA). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1154408631
- Provider Name
- MS. ELIZABETH JOAN JACOBSEN PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212
- Location Phone
- (509) 456-7414
- Location Fax
- (509) 624-0763
- Mailing Address
- 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212
- Mailing Phone
- (509) 456-7414
- Mailing Fax
- (509) 624-0763
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-01-2006
- Last Update Date
- 06-11-2012
- Code Navigator
A primary care provider (PCP) like Elizabeth Jacobsen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA60259472
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA-967 (ID) |
Medicare Participation & PECOS Enrollment Status
Elizabeth Jacobsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Biopsy Follow-Up | 98% | 380 |
| Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician | ||
| e-Prescribing | 100% | 621 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Improved Practices that Disseminate Appropriate Self-Management Materials | Yes | N/A |
| Provide self-management materials at an appropriate literacy level and in an appropriate language. | ||
| Patient-Specific Education | 79% | 875 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | 65 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 79% | 875 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Reviews for MS. ELIZABETH JOAN JACOBSEN PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 4 | 0 | 8 | 6 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 8 | 0 | 16 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 8 + 0 + 1 + 6 + 6 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1154408631 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184699365 | JOEL K SEARS M.D. Individual | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1386619294 | PAUL T DUNN M.D. Individual | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1548235450 | JOSEPH L CVANCARA M.D. Individual | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1215023007 | ANDREA MEAD DOMINEY M.D. Individual | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1467673061 | CHADD SUKUT MD Individual | Dermatology (MOHS-Micrographic Surgery) | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1710213558 | KATHLEEN R LEJAMEYER ARNP Individual | Nurse Practitioner | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1477853760 | THOMAS M RYAN, MD, Organization | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1689636649 | JEANNE M ELLERN PAC Individual | Physician Assistant (Medical) | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1881660751 | ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC Organization | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1710952882 | ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC Organization | Clinic/Center (Ambulatory Surgical) | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1972579845 | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC Organization | Clinical Medical Laboratory | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1194790006 | STACI M HESTDALEN M.D. Individual | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1619517539 | MOUNTAIN WEST DERM - BLACKHART PLLC Organization | Clinic/Center (Ambulatory Surgical) | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1013557933 | MOUNTAIN WEST DERM - BLACKHART PLLC Organization | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1437230786 | DR. ROBIN LOUISE HORNUNG MD Individual | Dermatology | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1841931425 | MAGGIE ROSE CALLAN PA-C Individual | Physician Assistant | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
| 1164692950 | ERIN MONICA NULF PA-C Individual | Physician Assistant | 1807 N HUTCHINSON RD SPOKANE VALLEY, WA 99212 (509) 456-7414 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154408631, enumerated in the NPI registry as an "individual" on November 01, 2006
The provider is located at 1807 N Hutchinson Rd Spokane Valley, Wa 99212 and the phone number is (509) 456-7414
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on November 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.