JULIA MARIE JACOBS (SLP) – Speech-Language Pathologist, NPI 1083066658

JULIA MARIE JACOBS (SLP) is a healthcare provider. based in Saint louis park, Minnesota. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. 112593 (TX). The NPI Number for JULIA MARIE JACOBS (SLP) is 1083066658

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JULIA MARIE JACOBS (SLP)
NPI
1083066658
Phone
(612) 871-1144
Address
6099 WAYZATA BLVD
Enumeration Date
7 July 2016
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
6128711144
Graduation Year
2016 (10 years ago)
PAC ID
6002100492
Group Practice PAC ID
3274524020
Professional Enrollment ID
I20210227000054
Address ID
MN554332521CO3960XNWXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

239 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MN

Provider Addresses for JULIA MARIE JACOBS (SLP)

  • 6099 WAYZATA BLVD

    SAINT LOUIS PARK, MN 554165538

    Phone: (612) 871-1144

    Fax: (817) 378-3699

    Type: Mailing

  • P.O. BOX 961205

    FORT WORTH, TX 761611205

    Phone: (817) 740-8400

    Fax: (817) 378-3699

    Type: Mailing

  • Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761042254

    Phone: (817) 920-0484

    Fax: (817) 920-0068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210227000054IQualified Speech Language PathologistMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
31579Exam to assess movement of vocal cord flaps using an endoscope2020$0
92524Analysis of voice and resonance production1818$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

Loading plans...

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: 3274524020View full group profile
NameSpecialtyState
-MN
Qualified AudiologistMN
Qualified AudiologistMN
Physician AssistantMN
-KS
Qualified AudiologistMN
O T O L A R Y N G O L O G YMN
-MN
O T O L A R Y N G O L O G YAL
O T O L A R Y N G O L O G YMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is JULIA MARIE JACOBS (SLP) identified in CMS data?
CMS-hosted NPPES data lists JULIA MARIE JACOBS (SLP) with NPI 1083066658.
Does CMS list JULIA MARIE JACOBS (SLP) as active?
Yes — JULIA MARIE JACOBS (SLP) is active in the NPI listing used on this page.
What taxonomy line describes JULIA MARIE JACOBS (SLP)?
For research purposes, treat JULIA MARIE JACOBS (SLP) as Speech-Language Pathologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does JULIA MARIE JACOBS (SLP) serve?
JULIA MARIE JACOBS (SLP)'s listing highlights Saint Louis Park, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

MS. SARA LINHART (M.A., CCC-SLP)

Speech-Language Pathologist
1250 W BROADWAY AVE
NPI: 1689711707

MRS. TINA PATRICIA LAVIN (SLP)

Speech-Language Pathologist
709 UNIVERSITY AVE W
NPI: 1053439497
5047 W MAIN ST # 135
NPI: 1245460393

BRENNA NICOLE PHAM (M.A. CCC-SLP)

Speech-Language Pathologist
4250 BROWNDALE AVE
NPI: 1306199666

MACKENZIE DEUTSCH (M.S., CCC-SLP)

Speech-Language Pathologist
7433 W FRANKLIN AVE
NPI: 1306218573
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
NPI: 1588014831

BRENNA PHAM LLC

Speech-Language Pathologist
4250, Browndale Avenue, Browndale, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
NPI: 1710520598

MRS. MEREDITH RICHARDS (CCC-SLP)

Speech-Language Pathologist
4209 PRINCETON AVE
NPI: 1770104036

KALLIE PETERSON

Speech-Language Pathologist
1660 HIGHWAY 100 S STE 103
NPI: 1891368395