Individual provider Active NPI

Benjamin S Jessen, P.A.-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1043475130
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1507 Issued in CO
Practice address
919 Jasmine St
Denver, CO 80220-4588
Phone
(303) 388-4256
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1507 CO Primary

Addresses

Primary practice location

919 Jasmine St
Denver, CO 80220-4588

Mailing address

919 Jasmine St
Denver, CO 80220-4588
Phone (303) 388-4256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1507COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Pediatrics, P.C. PastSince May 7, 2023 Accepting new patients
Partners in Pediatrics, P.C. PastSince Nov 22, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: benjamin.jessen.1@13728.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1043475130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 JASMINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204588",
            "telephone_number": "303-388-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 JASMINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204588",
            "telephone_number": "303-388-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEN",
        "first_name": "BENJAMIN",
        "middle_name": "S",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.