Active NPIIndividual provider

Jacob P Mihkelson, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Bedford, Massachusetts

NPI Number1003628447
Practice location
200 Springs RD, Bedford, MA 01730-1114
Fax
—
Last updated
October 26, 2025

Jacob Phillip Mihkelson is a Nurse Practitioner, Psych/Mental Health based in Bedford, MA. Jacob Phillip Mihkelson practices in Bedford, MA and has the professional credentials of PMHNP-BC. The NPI Number for Jacob Phillip Mihkelson is 1003628447 and holds a License No. RN10030124 (MA). The current practice location address for Jacob Phillip Mihkelson is 200 Springs RD, Bedford, MA 01730-1114 and can be reached out via phone at 781-687-2000.

Provider Profile Details

NPI Number
1003628447
Provider Name
Jacob Phillip Mihkelson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
200 Springs RD, Bedford, MA 01730-1114
Phone Number
781-687-2000
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Other Names
Jake Phillip Mihkelson, PMHNP-BC (Other Name)
Provider Enumeration Date
January 23, 2025
Last Update Date
October 26, 2025
Certification Date
October 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Springs RD
Bedford, MA 01730-1114
Zip
01730-1114
Phone Number
781-687-2000
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
200 Springs RD
Bedford, MA 01730-1114
City
Bedford
State
MA
Zip
01730-1114
Phone Number
781-687-2000

License Information

License Number (1)
RN10030124
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
95381885
License State (2)
CA
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
RN10030124
License State (3)
MA
Taxonomy (3)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacob P Mihkelson, PMHNP-BC?

The NPI number of Jacob P Mihkelson, PMHNP-BC is 1003628447. It was assigned on January 23, 2025 and is currently active in the NPPES registry.

What is the specialty of Jacob P Mihkelson, PMHNP-BC?

Jacob P Mihkelson, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN10030124.

Where does Jacob P Mihkelson, PMHNP-BC practice?

The practice location is 200 Springs RD, Bedford, MA 01730-1114. The office can be reached at 781-687-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003628447 directly on the NPPES registry website.

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