Carol Elizabeth Jacoby

ACNP | Nurse Practitioner - Acute Care | 27+ years Exp

3181 Sw Sam Jackson Park Rd, Portland
  Oregon, 97239-3011
503-494-5058
Accepts Medicare Nurse Anesthetist in Portland, Oregon.
Carol Elizabeth Jacoby is a Portland, Oregon based nurse practitioner with 27 years of experience in Acute Care. She completed her graduation in 1998. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Carol Elizabeth Jacoby is 200150018NP for Acute Care in Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland. Patients can reach her at 503-494-5058. Carol Elizabeth Jacoby is ACNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1457368391.
Carol Elizabeth Jacoby is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Carol Elizabeth Jacoby speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Carol Elizabeth Jacoby
Specialization: Acute Care Nurse Practitioner (ACNP)
Gender:Female
Credentials: ACNP
Experience: 27+ years
Medical School Attended:Other
Graduation Year:1998
Accepts Medicare Assignment:Yes
Practice Address:3181 Sw Sam Jackson Park Rd, Portland,
Oregon, 97239-3011
Phone:503-494-5058
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9436047065
Enrollment ID: I20040305001051
NPI Number: 1457368391
NPI Enumeration Date: 02 Aug, 2006
NPI Last Update On: 15 Aug, 2007

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carol Elizabeth Jacoby are as mentioned below.
License NumberSpecializationStateStatus
200150018NPAcute Care OregonPrimary
200140162RNAcute Care OregonSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(380009)Portland, ORAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Carol Elizabeth Jacoby is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Oregon Health And Sciences University/university Medical Group (4880760107)1328
Other Medical Identifiers:
Other legacy medical identifiers associated with Carol Elizabeth Jacoby such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
292871MedicaidOregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Carol Elizabeth Jacoby
3181 Sw Sam Jackson Park Rd, Uhn 73a
Portland, Oregon
Zip: 97239-3011
Patients can reach Carol Elizabeth Jacoby at 3181 Sw Sam Jackson Park Rd, Portland, Oregon or can call to book an appointment on 503-494-5058.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.