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

Katie Mae Jacobs, PA

Individual provider Medical Physician Assistant · NPI 1508190760

Katie Mae Jacobs, PA is a Physician Assistant in Gilbert, Arizona. Qualified in 2009, 17 years ago. Practices with Pioneer Sports and Spine PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4915 E Baseline Rd Ste 108
Gilbert, AZ 85234-2966
Phone: (480) 249-5525
Fax: (888) 990-2056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4529 (AZ)

Record details

NPI number1508190760
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 21, 2009
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pioneer Sports And Spine Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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