JOSHUA J JACOBSON (NP) – Family Nurse Practitioner, NPI 1336511492

JOSHUA J JACOBSON (NP) is a healthcare provider. based in Crosby, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. R1748617 (MN). The NPI Number for JOSHUA J JACOBSON (NP) is 1336511492

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA J JACOBSON (NP)
NPI
1336511492
Phone
(218) 546-7000
Address
320 E MAIN ST
Enumeration Date
28 October 2015
Last Update Date
25 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188245027
Graduation Year
2015 (11 years ago)
PAC ID
8022318138
Group Practice PAC ID
1658762646
Professional Enrollment ID
I20151120002716
Address ID
MN563531123MI190XXSXXX400

Contacts

Secure Messaging
jjacobson273034@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JOSHUA J JACOBSON (NP)

  • 320 E MAIN ST

    CROSBY, MN 564411645

    Phone: (218) 546-7000

    Fax: (218) 546-4400

    Type: Mailing

  • 200 BUNKER HILL DR

    AITKIN, MN 564311865

    Phone: (218) 927-2121

    Type: Mailing

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 $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($59).

Total Amount

$59

General + Research + Ownership

Payments

1

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI-AVENTIS U.S. LLC$59
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: 2015-11-20

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
I20151120002716INurse PractitionerMNTBD

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 56441)

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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: 1658762646View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN
Physician AssistantNC
Nurse PractitionerMN
Physician AssistantMN
Physician AssistantMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What number should I use to identify JOSHUA J JACOBSON (NP) for billing?
Administrative and clinical systems typically use NPI 1336511492 for JOSHUA J JACOBSON (NP).
Should I treat JOSHUA J JACOBSON (NP) as an active provider?
Patients and plans typically see JOSHUA J JACOBSON (NP) as active in the national extract.
Which specialty label fits JOSHUA J JACOBSON (NP)?
NPPES ties JOSHUA J JACOBSON (NP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JOSHUA J JACOBSON (NP)?
The directory associates JOSHUA J JACOBSON (NP) with Crosby, Minnesota. Check all listed addresses for suites or satellite offices.
Why is information missing for JOSHUA J JACOBSON (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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