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

Marissa Jacobs, DO

Individual provider Family Medicine Physician · NPI 1821522632

Marissa Jacobs, DO is a Family Practice in Glendale, Arizona. Qualified in 2017, 9 years ago. Practices with Midwestern University, a 117-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

19389 N 59th Ave
Glendale, AZ 85308-6500
Phone: (623) 537-6000
Fax: (623) 537-6014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 007754 (AZ)

Record details

NPI number1821522632
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing address19389 N 59th Ave, Glendale, AZ 85308-6500

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Midwestern University — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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