Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Tanner Kobernick, PA-C

Individual provider Physician Assistant · NPI 1942093695

Jacob Tanner Kobernick, PA-C is a Physician Assistant in Sun City West, Arizona. Qualified in 2025, 1 year ago. Practices with Center for Orthopedic Research and Education LLC, a 252-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375-5855
Phone: (866) 974-2673
Fax: (866) 939-2673
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11158 (AZ)

Record details

NPI number1942093695
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Center For Orthopedic Research And Education Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sun City West