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JACOBO FRIETZ
NPI 1104667237
Physician Assistant in Mesa, AZ

Active since June 03, 2024PECOS EnrolledAccepts Medicare Assignment
616 E SOUTHERN AVE, MESA, AZ 85204(602) 569-3999(602) 569-3887 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Jun 17, 2024, Jun 3, 2024 (3 updates tracked since 2024).

About Jacobo Frietz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOBO FRIETZ (NPI 1104667237) is an individual physician assistant in Mesa, Arizona and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104667237
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOBO FRIETZ
Location Address616 E SOUTHERN AVEMesa, AZ 85204-4941
Mailing Address5850 E Still CirMesa, AZ 85206-3618 · (602) 315-2343
Phone(602) 569-3999
Fax(602) 569-3887
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 3, 2024
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1104667237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
616 E SOUTHERN AVE, Mesa, AZ 85204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacobo Frietz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416424189
PECOS Enrollment IDI20260430001104
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC GABRIEL GONZALEZ MD
Pediatrics
616 E SOUTHERN AVE, #103
MESA, AZ 85204
Maricopa County (602) 569-3999
YESSICA RAMOS SACHDEVA M.D.
Internal Medicine
616 E SOUTHERN AVE, SUITE 103
MESA, AZ 85204
Maricopa County (602) 569-3999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacobo Frietz's NPI number?

The NPI number for Jacobo Frietz is 1104667237. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Jacobo Frietz located?

Jacobo Frietz practices at 616 E Southern Ave, Mesa, AZ 85204. The listed phone number is (602) 569-3999.

What is Jacobo Frietz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacobo Frietz enrolled in Medicare?

Yes. Jacobo Frietz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacobo Frietz was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.