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JACOB PFETSCH FNP-C
NPI 1639756356
Nurse Practitioner - Family in Phoenix, AZ

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment
3131 E CLARENDON AVE STE 107, PHOENIX, AZ 85016(602) 664-8000(602) 664-8001 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, Mar 27, 2021 (2 updates tracked since 2021).

About Jacob Pfetsch Fnp-c NPPES

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

JACOB PFETSCH FNP-C (NPI 1639756356) is an individual family provider in Phoenix, Arizona, licensed in Arizona (255950) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639756356
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB PFETSCHCredential: FNP-C
Location Address3131 E CLARENDON AVE STE 107Phoenix, AZ 85016-7069
Mailing Address3131 E Clarendon Ave Ste 107Phoenix, AZ 85016-7069 · (602) 664-8000 · Fax (602) 664-8001
Phone(602) 664-8000
Fax(602) 664-8001
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 27, 2021
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1639756356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 255950
3131 E CLARENDON AVE STE 107, Phoenix, AZ 85016
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Pfetsch Fnp-c 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 ID1850782095
PECOS Enrollment IDI20211227000520
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Pfetsch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Advanced Surgery LLC
3.5 mi
Surgery
2320 N 3RD ST
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 105 clinicians in this Medicare group
NPI 1346880838 (602) 258-9900
Vhs Outpatient Clinics, Inc.
20 mi
Multi-Specialty
1325 N LITCHFIELD RD STE 125
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 267 clinicians in this Medicare group
NPI 1912979964 (623) 242-1231

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services52 patients
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228
An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.
13 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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. BASIL AL KHATIB M.D.
Internal Medicine (Interventional Cardiology)
3131 E CLARENDON AVE STE 107
PHOENIX, AZ 85016
Maricopa County (602) 664-8000
MOHAMMAD M JARADAT MD
Internal Medicine (Interventional Cardiology)
3131 E CLARENDON AVE STE 107
PHOENIX, AZ 85016
Maricopa County (602) 664-8000

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 Jacob Pfetsch's NPI number?

The NPI number for Jacob Pfetsch is 1639756356. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Jacob Pfetsch located?

Jacob Pfetsch practices at 3131 E Clarendon Ave Ste 107, Phoenix, AZ 85016. The listed phone number is (602) 664-8000.

What is Jacob Pfetsch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Pfetsch enrolled in Medicare?

Yes. Jacob Pfetsch 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.

Which organizations bill Medicare for Jacob Pfetsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Pfetsch reassigns Medicare benefits to 2 organizations: Arizona Advanced Surgery LLC (Phoenix, AZ) and Vhs Outpatient Clinics, Inc. (Goodyear, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Pfetsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Pfetsch accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 1 other insurer list Jacob Pfetsch 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 Jacob Pfetsch was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.