Allysa Jacobson, - Medicare Nurse Practitioner in Robbinsdale, MN

Allysa Jacobson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Robbinsdale, Minnesota. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Memorial Health Care and her current practice location is 3366 Oakdale Ave N, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 581-5372.

Allysa Jacobson is licensed to practice in Minnesota (license number 8967) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033862107.

Contact Information

Allysa Jacobson,
3366 Oakdale Ave N,
Robbinsdale, MN 55422-2948
(763) 581-5372
Not Available



Provider's Profile

Full NameAllysa Jacobson
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location3366 Oakdale Ave N, Robbinsdale, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Allysa Jacobson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1033862107
  • Provider Enumeration Date: 01/30/2022
  • Last Update Date: 02/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901290485
  • Enrollment ID: I20220225002071

Medical Identifiers

Medical identifiers for Allysa Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033862107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 8967 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Memorial Health Care0042123028483

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Allysa Jacobson allows following entities to bill medicare on her behalf.
Entity NameNorth Memorial Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allysa Jacobson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Allysa Jacobson,
3300 Oakdale Ave N,
Robbinsdale, MN 55422-2926

Ph: (763) 520-5200
Allysa Jacobson,
3366 Oakdale Ave N,
Robbinsdale, MN 55422-2948

Ph: (763) 581-5372

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Nurse Practitioner Nurses in Robbinsdale, MN

Michaela Anne Mclain, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5110    
Kate Chies, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-581-9392    
Evan Sieve Johnson, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5200    
Holley Gullickson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3366 Oakdale Ave N, Suite 605, Robbinsdale, MN 55422
Phone: 763-520-2940    
Renee K Doering, G.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3366 Oakdale Ave N, Suite 315, Robbinsdale, MN 55422
Phone: 763-587-7900    Fax: 763-587-7989
Mary Shields, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422
Phone: 763-587-7737    Fax: 763-587-7069

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