Individual provider Active NPI

Lisa M Jaacks, MD

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1295785913
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
156775 Issued in FL
Practice address
2010 E Johnson Ave
Pensacola, FL 32514-6097
Phone
(850) 969-2038
Fax
(850) 969-2037
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34977 AZ
Obstetrics & Gynecology Physician 207V00000X 156775 FL Primary

Addresses

Primary practice location

2010 E Johnson Ave
Pensacola, FL 32514-6097

Mailing address

2010 E Johnson Ave
Pensacola, FL 32514-6097
Phone (850) 969-2038

Other identifiers 1

IdentifierTypeStateIssuer
34977OtherAZLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061009000193 AZ Practitioner - Obstetrics/Gynecology 1254337694 Reassigns benefits to 1 organization
I20220805000228 FL Practitioner - Obstetrics/Gynecology 1254337694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Internal Medicine LLCGroup PAC ID 7214942283, 8 clinicians

Practice addresses (Care Compare)

8333 N Davis Highway 2ND FL
West Florida Obstetrics and Gynecol
Pensacola, FL 32514-6050
Phone (850) 969-2038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as individual
Quality
82.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
156775FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert West Obstetrics & Gynecology LTD Obstetrics & Gynecology CurrentSince Aug 1, 2006 Accepting new patients
West Florida Internal Medicine LLC Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients

Locations

6678 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 678-1500

5601 W Eugie Ave
Ste 100
Glendale, AZ 85304
Phone (602) 865-4510

6678 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 678-1500

7787 W Deer Valley Rd
Ste 296
Peoria, AZ 85382
Phone (602) 978-1500

41810 N Venture Dr
Ste E156
Phoenix, AZ 85086
Phone (602) 978-1500

33423 N 32nd Ave
Ste 2200
Phoenix, AZ 85085
Phone (480) 398-1550

9305 W Thomas Rd
Ste 550
Phoenix, AZ 85037
Phone (602) 978-1500

8391 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-4885

8333 N Davis Hwy
Fl 2
Pensacola, FL 32514
Phone (850) 474-8719

8333 N Davis Hwy
Fl 7
Pensacola, FL 32514
Phone (850) 474-1625

8333 N Davis Hwy
#2
Pensacola, FL 32514

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: lisa.jaacksmd.p1@direct.dwobgyn.nextgenshare.com
  • Direct secure messaging: lisa.jaacks@hca5.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1295785913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146097",
            "telephone_number": "850-969-2038",
            "fax_number": "850-969-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146097",
            "telephone_number": "850-969-2038",
            "fax_number": "850-969-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAACKS",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "34977",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "156775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34977",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.