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Amy Michelle Jacobson , FNP

Nurse Practitioner • Phoenix, AZ

Active NPI 1922797075 Individual Practitioner Female Practitioner
Practice location in NPPES

6627 W Via Dona Rd
Phoenix, AZ 850837411

Call 6028269701 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6627 W Via Dona Rd

Phoenix, AZ 850837411

Telephone 6028269701

Medicare patients

397 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $618,431 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $491,113 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

241 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,789 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amy Jacobson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Amy Jacobson as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Phoenix and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Phoenix, AZ (2024, 118 clinicians with data). Median for this group: 190. Middle half: 85 to 639.

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: 304. Middle half: 114 to 768.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Phoenix, AZ (2024, 118 clinicians with data). Median for this group: $18,033. Middle half: $6,768 to $53,702.

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: $24,217. Middle half: $9,430 to $60,508.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Phoenix, AZ (2024, 118 clinicians with data). Median for this group: $13,808. Middle half: $4,830 to $42,217.

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: $17,824. Middle half: $6,512 to $45,984.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in Phoenix, AZ (2024, 145 clinicians with data). Median for this group: 265. Middle half: 61 to 1,010.

Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Arizona (2024, 705 clinicians with data). Median for this group: 368. Middle half: 91 to 1,188.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Phoenix, AZ (2024, 145 clinicians with data). Median for this group: $13,396. Middle half: $1,061 to $135,869.

A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Arizona (2024, 705 clinicians with data). Median for this group: $19,716. Middle half: $1,586 to $167,412.

334 active clinicians are listed under Nurse Practitioner with a practice address in Phoenix, AZ (1,430 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

14.7% of these 334 clinicians have the CMS telehealth indicator.

44.3% of these 334 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2023–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J0174 Injection, lecanemab-irmb, 1 mg
16,200 15 $3.06 $1.32
J2356 Injection, tezepelumab-ekko, 1 mg
3,990 16 $46.82 $17.70
J3111 Injection, romosozumab-aqqg, 1 mg
3,990 18 $28.16 $10.72
J0897 Injection, denosumab, 1 mg
3,780 62 $70.63 $25.78
J1306 Injection, inclisiran, 1 mg
3,692 12 $28.70 $11.97
J2182 Injection, mepolizumab, 1 mg
3,000 15 $82.58 $29.97
J2357 Injection, omalizumab, 5 mg
2,010 28 $110.61 $37.11
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg
1,000 13 $203.42 $46.62
J0517 Injection, benralizumab, 1 mg
690 19 $442.29 $158.46
96372 Injection of drug or substance under skin or into muscle
266 189 $28.55 $11.72
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
79 79 $235.27 $73.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
60 60 $271.00 $91.34
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
46 36 $120.49 $50.13
96413 Administration of chemotherapy into vein, 1 hour or less
36 31 $251.07 $105.10
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour
31 14 $39.69 $16.61
81003 Automated urinalysis test
20 20 $7.00 $2.20
71046 X-ray of chest, 2 views
17 17 $84.00 $27.34

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ipratropium Bromide Ipratropium Bromide 62 1,049 $1,362.39 62
Methylprednisolone Methylprednisolone 32 192 $249.95 32
Albuterol Sulfate Hfa Albuterol Sulfate 28 575 $566.70 28
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 23 137 $163.86 23
Azithromycin Azithromycin 19 95 $68.02 19
Doxycycline Hyclate Doxycycline Hyclate 18 115 $119.01 18
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 18 108 $147.92 18
Prednisone Prednisone 17 85 $29.50 17
Cephalexin Cephalexin 13 94 $39.31 13
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 11 83 $42.31 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES AZ RNP291277

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230817002585

Enrollment State Jurisdiction

AZ

PECOS Control ID

8123480464

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History

NPI enumerated May 04, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2023 to August 2026.

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NPI Administrative Meta

NPI Number: 1922797075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2023
Last Update: May 04, 2023
Sole Proprietor: No

Other Nurse Practitioners in Phoenix

All Nurse Practitioners in Phoenix

Mailing Address

6627 W Via Dona Rd

Phoenix, AZ 850837411

Phone: 6028269701

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.