MICHELLE JACOBS (D.O., MPH) – Internal Medicine Physician, NPI 1174766083
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,058 INTERNAL MEDICINE in WA
Provider Addresses for MICHELLE JACOBS (D.O., MPH)
PO BOX 5127
EVERETT, WA 982065127
Phone: (206) 860-5414
Fax: (206) 720-8462
Type: Mailing
3927 RUCKER AVE
EVERETT, WA 982014833
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Location
9709 3rd Ave NE
Seattle, WA 981152062
Phone: (206) 860-2222
Fax: (206) 720-7777
Type: Location
33501, 1st Way South, Federal Way, King County, Washington, 98003, United States
FEDERAL WAY, WA 980036208
Phone: (253) 838-2400
Fax: (253) 874-1637
Type: Mailing
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.
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: 2013-12-26
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 |
|---|---|---|---|---|
| I20131226000906 | I | Internal Medicine | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WA | |
| - | WA | |
| P A T H O L O G Y | TN | |
| Nurse Practitioner | WA | |
| Diagnostic Radiology | WA | |
| Nurse Practitioner | WA | |
| Physical Therapist In Private Practice | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Emergency Medicine | OR |
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