MRS. TRACY JACOBSEN (MA OTRL) – Occupational Therapist, NPI 1528170297
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
230 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NE
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Provider Addresses for MRS. TRACY JACOBSEN (MA OTRL)
PO BOX 855
WISNER, NE 68791
Phone: (402) 529-3267
Type: Mailing
Taylor Avenue, Cringleford, South Norfolk, Norfolk, East of England, England, NR4, United Kingdom
SUITE 1100
NORFOLK, NE 687014641
Phone: (407) 371-7545
Fax: (402) 379-0583
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2007-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070110000502 | I | Occupational Therapist In Private Practice | NE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 527 | 29 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 277 | 27 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 57 | 12 | $0 |
| 97035 | Application of ultrasound, each 15 minutes | 53 | 14 | $0 |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | 18 | 17 | $0 |
Insurance plans in this area (ZIP 68791)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | NE | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 479 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | NE | |
| Occupational Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | NE |
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