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

Jacob Michael Poulsen, MD

Individual provider Emergency Medicine Physician · NPI 1467642447

Jacob Michael Poulsen, MD is an Emergency Medicine in Tucson, Arizona. Graduated from Washington University School of Medicine in 2007, 19 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Colorado.

Years since qualifying
19
Trained at
Washington University School of Medicine
Licensed in
AZ, CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1842 E Elm
Tucson, AZ 85724-0001
Phone: (520) 626-7233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 E 3rd St, Delta, CO 81416-2815 — (970) 874-7681

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 81900 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DR.0076354 (CO)

Record details

NPI number1467642447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 26, 2007
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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