Physician Compare National (NPI:1427112499)

HEALTHCARE PROVIDER: KARLI JACOBSON PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1427112499
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769539451
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090415000531
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DIMINO
	Individual professional last name
Provider First Name	KARLI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SALIDA HOSPITAL DISTRICT
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3577451152
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	44
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	735 US HWY 24
	Group Practice or individual's line 1 address
City	LEADVILLE
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	804613978
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7195302000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y