Kristen Jacobs, M.D.
NPI 1962594929ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· South Bend, IN
Pathology, Anatomic Pathology & Clinical Pathology (M.D.) in South Bend, Indiana, trained at University of Iowa, Rj & L Carver College of Medicine (class of 1984). Medicare paid $37,816 for services to 584 patients in 2024.
Overview
| NPI | 1962594929 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Jan 5, 2024 |
| Certified by provider | Jan 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 01037063 | IN |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301055183 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (IN); Practitioner - Pathology (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 584 |
|---|---|
| Services billed | 1,332 across 28 procedure codes |
| Paid by Medicare | $37,816 |
Education and affiliations
| Medical school | University of Iowa, Rj & L Carver College of Medicine |
|---|---|
| Graduation year | 1984 |
| Medicare specialty | Pathology |
Medical group
- Legacy Path LLCKalamazoo, MI · 17 clinicians
Hospital affiliation
- Memorial Hospital of South BendSouth Bend, IN
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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All 23 pathologists in South Bend · All pathologists in Indiana