Evan Jacobson, DO
NPI 1447831375ActiveIndividual· Family Medicine· Kittery, ME
Family Medicine (DO) in Kittery, Maine, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2021). Enrolled in Medicare as practitioner - family practice.
Overview
| NPI | 1447831375 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 21, 2021 |
| Last updated in NPPES | May 29, 2026 |
| Certified by provider | May 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DO4258 | ME |
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 - Family Practice (ME) |
|---|
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Family Practice |
Medical group
- Vantage Healthcare IncKittery, ME · 3 clinicians
Other facilities
- Affinity Care of Maine, LLCHospice · South Portland, ME
- Durgin PinesNursing home · Kittery, ME
- Ledgewood ManorNursing home · Windham, ME
- Pinnacle Health & Rehab at N BerwickNursing home · North Berwick, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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