Individual provider

Jason Jacobson, APRN

Family Nurse Practitioner Nurse Practitioner Medicare enrolled

Jason Jacobson, APRN is a Family Nurse Practitioner in Jacksonville, FL, registered under NPI 1104456565. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 12428 SAN JOSE BLVD STE 4, Jacksonville, FL 32223. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12428 SAN JOSE BLVD STE 4, Jacksonville, FL 32223 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
APRN11003000 FL Family Nurse Practitioner primary
13915782-4405 UT Nurse Practitioner
870426 NV Nurse Practitioner
AC003602 MD Nurse Practitioner
294465 AZ Nurse Practitioner
0024193643 VA Nurse Practitioner
AP61509339 WA Nurse Practitioner
APRN11003000 FL Nurse Practitioner
95032140 CA Nurse Practitioner
1170150 TX Nurse Practitioner
10020817 OR Nurse Practitioner
8155 MN Nurse Practitioner
F352405-01 NY Nurse Practitioner

Licences are recorded in 12 states: FL, UT, NV, MD, AZ, VA, WA, CA, TX, OR, MN, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3173950839

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 12 states

This provider holds licences in 12 states: Arizona, California, Florida, Maryland, Minnesota, Nevada, New York, Oregon, Texas, Utah, Virginia and Washington. The practice address on file is in Jacksonville, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona
Licence
294465
Specialty
Nurse Practitioner
Verify with the AZ board →
CA California
Licence
95032140
Specialty
Nurse Practitioner
Verify with the CA board →
FL Florida practice address
Licence
APRN11003000
Specialty
Family Nurse Practitioner
Verify with the FL board →
MD Maryland
Licence
AC003602
Specialty
Nurse Practitioner
Verify with the MD board →
MN Minnesota
Licence
8155
Specialty
Nurse Practitioner
Verify with the MN board →
NV Nevada
Licence
870426
Specialty
Nurse Practitioner
Verify with the NV board →
NY New York
Licence
F352405-01
Specialty
Nurse Practitioner
Verify with the NY board →
OR Oregon
Licence
10020817
Specialty
Nurse Practitioner
Verify with the OR board →
TX Texas
Licence
1170150
Specialty
Nurse Practitioner
Verify with the TX board →
UT Utah
Licence
13915782-4405
Specialty
Nurse Practitioner
Verify with the UT board →
VA Virginia
Licence
0024193643
Specialty
Nurse Practitioner
Verify with the VA board →
WA Washington
Licence
AP61509339
Specialty
Nurse Practitioner
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 13 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family APRN11003000 FL primary
363L00000X Nurse Practitioner 13915782-4405 UT
363L00000X Nurse Practitioner 870426 NV
363L00000X Nurse Practitioner AC003602 MD
363L00000X Nurse Practitioner 294465 AZ
363L00000X Nurse Practitioner 0024193643 VA
363L00000X Nurse Practitioner AP61509339 WA
363L00000X Nurse Practitioner APRN11003000 FL
363L00000X Nurse Practitioner 95032140 CA
363L00000X Nurse Practitioner 1170150 TX
363L00000X Nurse Practitioner 10020817 OR
363L00000X Nurse Practitioner 8155 MN
363L00000X Nurse Practitioner F352405-01 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104456565 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 23, 2020
Last updatedSep 4, 2025
StatusActive
Sole proprietorNo
CredentialAPRN
Practice address 12428 SAN JOSE BLVD STE 4
Jacksonville, FL 32223
(602) 403-9466
Fax (602) 708-5615
Mailing address 1119 NATURES HAMMOCK RD N
St Johns, FL 32259
This record was updated on Sep 4, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104456565 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 4 5 6 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 8 5 3 5 3

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104456565?
NPI 1104456565 is the National Provider Identifier assigned to Jason Jacobson, APRN in Jacksonville, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Jason Jacobson, APRN?
The phone number on file with NPPES is (602) 403-9466, last updated Sep 4, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jason Jacobson, APRN accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104456565 a valid number?
Yes. 1104456565 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.