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

Maricela Jacobo, MD

Individual provider Anesthesiology Physician · NPI 1164786679

Maricela Jacobo, MD is an Anesthesiology in Colorado Springs, Colorado. Qualified in 2012, 14 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Tennessee.

Years since qualifying
14
Licensed in
CO, TN
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 E Boulder St Ste 1183
Colorado Springs, CO 80909-5533
Phone: (719) 365-6999
Fax: (719) 365-2837
Show map & directions

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

Additional practice locations (2)

  • 8901 Wisconsin Ave, Bethesda, MD 20889-5600 — (301) 319-8361
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-5600 — (615) 936-2000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence DR.0072171 (CO)
Anesthesiology Physician Taxonomy 207L00000X · Licence 60523 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164786679
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2012
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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