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SIMON PEDRO JACQUEZ PA
NPI 1336820976
Physician Assistant - Medical in Phoenix, AZ

Active since July 27, 2023PECOS Enrolled
6211 N 35TH AVE, PHOENIX, AZ 85017(602) 242-5000(480) 605-2291 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simon Pedro Jacquez Pa NPPES

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

SIMON PEDRO JACQUEZ PA (NPI 1336820976) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (9856) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336820976
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSIMON PEDRO JACQUEZCredential: PA
Location Address6211 N 35TH AVEPhoenix, AZ 85017-1415
Mailing Address6211 N 35th AvePhoenix, AZ 85017-1415 · (602) 242-5000 · Fax (480) 605-2291
Phone(602) 242-5000
Fax(480) 605-2291
Sole ProprietorNo
Enumeration DateJuly 27, 2023
NPPES CertifiedJuly 26, 2023
✔ NPI 1336820976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 9856
6211 N 35TH AVE, Phoenix, AZ 85017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Pedro Jacquez Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

ADVANCED CLINICAL LABORATORIES, LLC
Clinical Medical Laboratory
6211 N 35TH AVE, SUITE 3
PHOENIX, AZ 85017
Maricopa County (602) 841-7718

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 Simon Jacquez's NPI number?

The NPI number for Simon Jacquez is 1336820976. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Simon Jacquez located?

Simon Jacquez practices at 6211 N 35th Ave, Phoenix, AZ 85017. The listed phone number is (602) 242-5000.

What is Simon Jacquez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Simon Jacquez enrolled in Medicare?

Yes. Simon Jacquez is registered in the Medicare PECOS enrollment system.

What insurance does Simon Jacquez accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Simon Jacquez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simon Jacquez was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.