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

Ashley Marie Jacobson, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1306318498

Ashley Marie Jacobson, NURSEPRACTITIONER is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2018, 8 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4100 Lake Dr SE Ste D
Grand Rapids, MI 49546-8292
Phone: (616) 391-7580
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AG09180029 (MI)

Record details

NPI number1306318498
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 30, 2018
Last updated in NPPESDecember 30, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids