Katie Jo Jacobs, PA
NPI 1346979580ActiveIndividual· Physician Assistant· Fargo, ND
Physician Assistant (PA) with Sanford Medical Center Fargo, practicing in Fargo, North Dakota. 269 Medicare patients in 2024, $21,952 paid; nearly all of their 625 Part D prescriptions were generic (97%). Lists Prairie Ridge Hospital and Health Services and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1346979580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 5, 2022 |
| Last updated in NPPES | Oct 5, 2022 |
| Certified by provider | Oct 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PAC0935 | ND |
| Physician Assistant | 363A00000X | 14032 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 269 |
|---|---|
| Services billed | 445 across 15 procedure codes |
| Paid by Medicare | $21,952 |
Part D prescriptions in 2024
| Prescriptions (claims) | 625 · 919 30-day fills |
|---|---|
| Patients | 219 |
| Total drug cost | $20,981 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Hospital affiliations
- Prairie Ridge Hospital and Health ServicesElbow Lake, MN
- Sanford Bemidji Medical CenterBemidji, MN
- Sanford HillsboroHillsboro, ND
- Sanford Medical Center FargoFargo, ND
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Fargo
- 1235644840
- 1811194491
- 1659941318
- 1205091824
- 1962676635
- 1265179600
- 1629179106
- 1619736600
- 1922590181
- 1154809267
- 1487306981
- 1063153013