MACKENZIE JACOBSON – Nurse Practitioner, NPI 1063949790

MACKENZIE JACOBSON is a healthcare provider. based in Lancaster, Ohio. specializing in Nurse Practitioner. They hold a License No. 020843 (OH). The NPI Number for MACKENZIE JACOBSON is 1063949790

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MACKENZIE JACOBSON
NPI
1063949790
Phone
(740) 304-9309
Address
638 E 5TH AVE
Enumeration Date
12 May 2017
Last Update Date
12 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7406540232
Graduation Year
2017 (9 years ago)
PAC ID
4981971538
Group Practice PAC ID
0042109407
Professional Enrollment ID
I20170601002395
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for MACKENZIE JACOBSON

  • 638, East 5th Avenue, Lancaster Historic District, Lancaster, Fairfield County, Ohio, 43130, United States

    LANCASTER, OH 431303107

    Phone: (740) 304-9309

    Type: Mailing

  • 1550, Sheridan Drive, Lancaster, Fairfield County, Ohio, 43130, United States

    202

    LANCASTER, OH 431301381

    Phone: (740) 654-0232

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 43130)

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Reviews

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Frequently asked questions

Can I verify MACKENZIE JACOBSON with an NPI only?
You can start verification with NPI 1063949790 for MACKENZIE JACOBSON, then check state licensing separately.
Is MACKENZIE JACOBSON listed as active for patients and plans?
The listing shows MACKENZIE JACOBSON as active in the NPI system.
What is MACKENZIE JACOBSON's specialty?
The listing groups MACKENZIE JACOBSON with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MACKENZIE JACOBSON?
MACKENZIE JACOBSON's geographic hint is Lancaster, Ohio in our summary view.
Is the information about MACKENZIE JACOBSON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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