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

MS. Tatiana Ellen Jaacks, PA

Individual provider Physician Assistant · NPI 1295622553

MS. Tatiana Ellen Jaacks, PA is a Physician Assistant in Goodyear, Arizona. Qualified in 2025, 1 year ago. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14455 W Van Buren St # 100
Goodyear, AZ 85338-9209
Phone: (248) 410-4704
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 (AZ)

Record details

NPI number1295622553
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 19, 2025
Last updated in NPPESAugust 2, 2025
Certification dateAugust 2, 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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Goodyear