MS. TATIANA ELLEN JAACKS PA
NPI 1295622553
Physician Assistant in Goodyear, AZ
About Ms. Tatiana Ellen Jaacks Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TATIANA ELLEN JAACKS PA (NPI 1295622553) is an individual physician assistant in Goodyear, Arizona and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Tatiana Ellen Jaacks Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
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 Tatiana Jaacks's NPI number?
The NPI number for Tatiana Jaacks is 1295622553. It was assigned to this individual provider in the NPPES registry on June 19, 2025.
Where is Tatiana Jaacks located?
Tatiana Jaacks practices at 14455 W Van Buren St # 100, Goodyear, AZ 85338. The listed phone number is (248) 410-4704.
What is Tatiana Jaacks's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tatiana Jaacks enrolled in Medicare?
Yes. Tatiana Jaacks is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tatiana Jaacks was last updated on August 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
