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

Timothy Daniel Jacobsen, PA-C

Individual provider Physician Assistant · NPI 1063297372

Timothy Daniel Jacobsen, PA-C is a Physician Assistant in Richland, Washington. Graduated from University of Michigan Medical School in 2023, 3 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Trained at
University of Michigan Medical School
Licensed in
WA
In the registry since
2023
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

888 Swift Blvd
Richland, WA 99352-3514
Phone: (509) 946-4611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61470203 (WA)
Physician Assistant Taxonomy 363A00000X (WA)

Record details

NPI number1063297372
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address550 Gage Blvd Ste 101, Richland, WA 99352-9532

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Richland