Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alice Kelley Jacobson, PA-C

Individual provider Physician Assistant · NPI 1558814483

Alice Kelley Jacobson, PA-C is a Physician Assistant in South Portland, Maine. Qualified in 2016, 10 years ago. Practices with Plastic and Hand Surgical Associates, a 17-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

244 Western Ave Ste 100
South Portland, ME 04106
Phone: (207) 775-3446
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 244 Western Ave Ste 100, South Portland, ME 04106 — (207) 775-3446

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558814483
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 27, 2016
Last updated in NPPESNovember 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Plastic And Hand Surgical Associates — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Portland