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

Individual provider Acute Care Nurse Practitioner · NPI 1457368391

Carol Elizabeth Jacoby, ACNP is a Nurse Practitioner in Portland, Oregon. Qualified in 1998, 28 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
28
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-5058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 200150018NP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 200140162RN (OR)

Record details

NPI number1457368391
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESAugust 15, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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