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MICHAEL PESCATORE JACOBSON PA-C
NPI 1700406477
Physician Assistant in Phoenix, AZ

Active since April 22, 2020PECOS Enrolled
2122 E HIGHLAND AVE STE 335, PHOENIX, AZ 85016(602) 824-8404 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Apr 14, 2021, Apr 22, 2020 (3 updates tracked since 2020).

About Michael Pescatore Jacobson Pa-c NPPES

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

MICHAEL PESCATORE JACOBSON PA-C (NPI 1700406477) is an individual physician assistant in Phoenix, Arizona, licensed in Ohio (50.006734RX) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700406477
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL PESCATORE JACOBSONCredential: PA-C
Location Address2122 E HIGHLAND AVE STE 335Phoenix, AZ 85016-4760
Mailing Address2122 E Highland Ave Ste 335Phoenix, AZ 85016-4760 · (602) 824-8404
Phone(602) 824-8404
Sole ProprietorNo
Enumeration DateApril 22, 2020
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1700406477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.006734RX
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2122 E HIGHLAND AVE STE 335, Phoenix, AZ 85016
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Other Identifiers 1

Medicaid0437964OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Michael Pescatore Jacobson Pa-c 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.

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
$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.

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 Michael Jacobson's NPI number?

The NPI number for Michael Jacobson is 1700406477. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Michael Jacobson located?

Michael Jacobson practices at 2122 E Highland Ave Ste 335, Phoenix, AZ 85016. The listed phone number is (602) 824-8404.

What is Michael Jacobson's specialty?

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

Is Michael Jacobson enrolled in Medicare?

Yes. Michael Jacobson is registered in the Medicare PECOS enrollment system.

What insurance does Michael Jacobson accept?

Health plans from UnitedHealthcare list Michael Jacobson 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 Michael Jacobson was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.