Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael D Jacobson, PA-C

Individual provider Medical Physician Assistant · NPI 1013959188

Mr. Michael D Jacobson, PA-C is a Physician Assistant in Fort Collins, Colorado. Qualified in 2005, 21 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Virginia.

Years since qualifying
21
Licensed in
CO, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2121 E Harmony Rd Ste 300
Fort Collins, CO 80528-3400
Phone: (970) 224-9102
Fax: (970) 224-9112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0004358 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110002152 (VA)

Record details

NPI number1013959188
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 16, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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