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

Dr. Ellen Jacobsen, MD

Individual provider Specialist · NPI 1821092891

Dr. Ellen Jacobsen, MD is a Dermatology in Urbana, Illinois. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
40
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

407 W Springfield Ave
Urbana, IL 61801-8809
Phone: (217) 367-7546
Fax: (217) 367-2240
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036099003 (IL)

Record details

NPI number1821092891
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2005
Last updated in NPPESJuly 8, 2007
Mailing address407 W Springfield Ave, Urbana, IL 61801-8809

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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