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MIRNA MOUSA JABBO
NPI 1750210654
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since May 16, 2026PECOS Enrolled
1300 S COUNTRY CLUB DR STE 3, MESA, AZ 85210(480) 827-5500 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mirna Mousa Jabbo NPPES

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

MIRNA MOUSA JABBO (NPI 1750210654) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750210654
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRNA MOUSA JABBO
Location Address1300 S COUNTRY CLUB DR STE 3Mesa, AZ 85210-5162
Mailing Address1300 S Country Club Dr Ste 3Mesa, AZ 85210-5162 · (480) 827-5500
Phone(480) 827-5500
Sole ProprietorNo
Enumeration DateMay 16, 2026
NPPES CertifiedMay 16, 2026
✔ NPI 1750210654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 S COUNTRY CLUB DR STE 3, Mesa, AZ 85210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirna Mousa Jabbo 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 20

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

OLIVIA TAYLOR
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. ABDELRAHMAN HAFEZ MD
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
CASSIDY S MURPHY FNP
Nurse Practitioner (Family)
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. AUSTIN GRANT SIMMONS DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
THOMAS FOTAKIS FOSS M.D.
Family Medicine
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
VENKAT RAGHAV BHASKARA DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
PETER J COOK DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. HYTHAM SAMI HAMMAD MD
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500

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 Mirna Jabbo's NPI number?

The NPI number for Mirna Jabbo is 1750210654. It was assigned to this individual provider in the NPPES registry on May 16, 2026.

Where is Mirna Jabbo located?

Mirna Jabbo practices at 1300 S Country Club Dr Ste 3, Mesa, AZ 85210. The listed phone number is (480) 827-5500.

What is Mirna Jabbo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mirna Jabbo enrolled in Medicare?

Yes. Mirna Jabbo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mirna Jabbo was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.