Doctor profile · Federal record

Dr. KEVIN JACOBSON, NP

Nurse Practitioner · Nurse Practitioner · COOPERSTOWN, ND

  • NPI 1528093077
  • 20 yrs on file
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1200 ROBERTS AVE NE, COOPERSTOWN MEDICAL CENTER
COOPERSTOWN, ND 584257101
(701) 797-2128

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
May 23, 2012
Specialty taxonomy
363L00000X — NUCC code
State licenses (2)
North Dakota #R27650 · Minnesota #R1561072
Medicaid
ND #19682

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1528093077. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$80
Transactions
3
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Ethicon US, LLC 2 $57.59
Boston Scientific Corporation 1 $22.24

By nature of payment

Food and Beverage
$80

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›