Jacob Wesley Shulmister, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0000967 Issued in CO

Practice address

4055 S Broadway
Englewood, CO 80113-4695

Phone

(303) 722-6864

Fax

(303) 722-5113

NPI assigned

Mar 22, 2022

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot Specialist Associates P.C.Group PAC ID 6507977279, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73866
• Direct secure messaging: jacob.shulmister@hca3.eclinicaldirectplus.com
• Direct secure messaging: jake@coloradofootcare.directbygreenway.com

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

• Foot Specialist Associates P.C.

  • Foot & Ankle Surgery Podiatrist
  • Englewood, CO
  • NPI 1013195924

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• James M Griffin DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Denver, CO
  • NPI 1174792428
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1053060509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134695",
            "telephone_number": "303-722-6864",
            "fax_number": "303-722-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134695",
            "telephone_number": "303-722-6864",
            "fax_number": "303-722-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMISTER",
        "first_name": "JACOB",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CO",
            "license": "0000967",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "0000967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "endpointDescription": "Presbyterian Saint Luke's",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1719 E 19th Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shining Light Therapy, LLC
• Aaron J Shipman, LCSW
• David Earl Shook, MD
• Kathleen Shook
• Rebecca A Showalter, PSY.D.
• Helen Shultz
• Yael O Shuman, MFT
• Sean M Siebert
• Stanley F Siefer, M.D.
• Madison Sierocinski, RBT

• Foot & Ankle Surgery Podiatrist in Englewood, CO
• Providers in Englewood, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.