NPI age
20 years
Enumerated 2005-08-09
● Active
Type 1 · Individual
MRS. Marileen Ann Jacobs
Jacobs is 1 of 1 orthotic fitter providers in Coeur D Alene and 1 of 2 in Idaho.
Primary specialty
Orthotic Fitter
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2 active orthotic fitter providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
1512 E Gilbert Ave
Coeur D Alene, ID 838156216
Mailing address
1512 E Gilbert Ave
Coeur D Alene, ID 838156216
Specialties
-
Orthotic Fitter PrimaryAn individual trained in the management of fitting prefabricated orthoses.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8A760 | BLUE CROSS |
| 01 (ID) | 000010014587 | REGENCE BLUE SHIELD |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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