MARY N. JACOBSON MD – NPI #1699137075
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

MARY JACOBSON is a physician located in KANSAS CITY, MO. NPPES has assigned the NPI number 1699137075 to MARY JACOBSON on March 24, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0201X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Allergy/Immunology

The NPI profile was last updated on Dec 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY JACOBSON below.

NPI Profile for
MARY N. JACOBSON

NPI Number
1699137075
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY N. JACOBSON
Credentials
MD
Primary location
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone: (816) 234-3000 Fax: (816) 302-9939
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARY JACOBSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKS201260300B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0201X
- Pediatrics / Pediatric Allergy/Immunology (Primary)
MO 2019022218

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.