FLINT DEAN JACOBSON (NP) – Family Nurse Practitioner, NPI 1033837893

FLINT DEAN JACOBSON (NP) is a healthcare provider. based in Montpelier, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 73078 (ID). The NPI Number for FLINT DEAN JACOBSON (NP) is 1033837893

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
FLINT DEAN JACOBSON (NP)
NPI
1033837893
Phone
Not provided
Address
166 S 5TH ST
Enumeration Date
18 August 2022
Last Update Date
18 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352551630
Graduation Year
2022 (4 years ago)
PAC ID
7810362399
Group Practice PAC ID
5395799860
Professional Enrollment ID
I20250120000294
Address ID
UT840287909GA288XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for FLINT DEAN JACOBSON (NP)

  • 166 S 5TH ST

    MONTPELIER, ID 832544959

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
HARMONY BIOSCIENCES LLC$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230414001425INurse PractitionerIDTBD
I20250120000294INurse PractitionerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83254)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395799860View full group profile
NameSpecialtyState
General SurgeryWY
Orthopedic SurgeryKY
O B S T E T R I C S/ G Y N E C O L O G YWY
Nurse PractitionerID
Family PracticeCO
Physician AssistantID
Physician AssistantUT
Cardiovascular Disease (Cardiology)ID
Clinical Social WorkerID
Physician AssistantCA

Reviews

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Frequently asked questions

Can I verify FLINT DEAN JACOBSON (NP) with an NPI only?
You can start verification with NPI 1033837893 for FLINT DEAN JACOBSON (NP), then check state licensing separately.
Does the file indicate FLINT DEAN JACOBSON (NP) is practicing under active NPI?
Directory data currently reports FLINT DEAN JACOBSON (NP) as active.
What is FLINT DEAN JACOBSON (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for FLINT DEAN JACOBSON (NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for FLINT DEAN JACOBSON (NP)?
FLINT DEAN JACOBSON (NP)'s geographic hint is Montpelier, Idaho in our summary view.
Is the information about FLINT DEAN JACOBSON (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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