Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATIE MAE JACOBS PA
NPI 1508190760
Physician Assistant - Medical in Gilbert, AZ

Active since September 21, 2009PECOS EnrolledAccepts Medicare Assignment
4915 E BASELINE RD STE 108, GILBERT, AZ 85234(480) 249-5525(888) 990-2056 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2020, Apr 11, 2019, Mar 29, 2016 (3 updates tracked since 2016).

About Katie Mae Jacobs Pa NPPES

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

KATIE MAE JACOBS PA (NPI 1508190760) is an individual medical provider in Gilbert, Arizona, licensed in Arizona (4529) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1508190760
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATIE MAE JACOBSCredential: PA
Location Address4915 E BASELINE RD STE 108Gilbert, AZ 85234-2966
Mailing Address4915 E Baseline Rd Ste 108Gilbert, AZ 85234-2966 · (480) 249-5525 · Fax (888) 990-2056
Fax(888) 990-2056
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 21, 2009
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1508190760 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 · 4529
4915 E BASELINE RD STE 108, Gilbert, AZ 85234

Accepted Insurance

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

Katie Mae Jacobs Pa 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 ID3870631054
PECOS Enrollment IDI20091109000266
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Addition to lower extremity, test socket, below knee L5620
DME-Orthotic Devices · category DF003N
5 suppliers11 claims14 services$241.01 avg. paid by Medicare
Addition to lower extremity, below knee, acrylic socket L5629
DME-Orthotic Devices · category DF003N
6 suppliers12 claims12 services$263.19 avg. paid by Medicare
Addition to lower extremity, below knee, total contact L5637
DME-Orthotic Devices · category DF003N
6 suppliers13 claims13 services$311.81 avg. paid by Medicare
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism L5673
DME-Orthotic Devices · category DF003N
4 suppliers11 claims22 services$647.20 avg. paid by Medicare
Addition, endoskeletal system, below knee, alignable system L5910
DME-Orthotic Devices · category DF003N
6 suppliers12 claims12 services$306.22 avg. paid by Medicare
Prosthetic sheath, below knee, each L8400
DME-Orthotic Devices · category DF000N
6 suppliers12 claims84 services$16.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Medicine & Rehabilitation (Pain Medicine)
4915 E BASELINE RD STE 108
GILBERT, AZ 85234
Nurse Practitioner (Primary Care)
4915 E BASELINE RD STE 108
GILBERT, AZ 85234

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 Katie Jacobs's NPI number?

The NPI number for Katie Jacobs is 1508190760. It was assigned to this individual provider in the NPPES registry on September 21, 2009.

Where is Katie Jacobs located?

Katie Jacobs practices at 4915 E Baseline Rd Ste 108, Gilbert, AZ 85234. The listed phone number is (480) 249-5525.

What is Katie Jacobs's specialty?

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

Is Katie Jacobs enrolled in Medicare?

Yes. Katie Jacobs 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.

What insurance does Katie Jacobs accept?

Health plans from UnitedHealthcare list Katie Jacobs 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 Katie Jacobs was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.