Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Pfetsch, FNP-C

Individual provider Family Nurse Practitioner · NPI 1639756356

Jacob Pfetsch, FNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Vhs Outpatient Clinics Inc, a 206-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3131 E Clarendon Ave Ste 107
Phoenix, AZ 85016-7069
Phone: (602) 664-8000
Fax: (602) 664-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 255950 (AZ)

Record details

NPI number1639756356
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMarch 27, 2021
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vhs Outpatient Clinics Inc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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