Individual provider Active NPI

Jacob Joseph Bellendir

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1053994111
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007465 Issued in CO
Practice address
13001 E 17TH PL Ste B119
Aurora, CO 80045-2601
Phone
(303) 724-7963
NPI assigned
May 5, 2021
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X PA.0007465 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

13001 E 17TH PL Ste B119
Aurora, CO 80045-2601

Mailing address

13001 E 17TH PL Ste B119
Aurora, CO 80045-2601
Phone (303) 724-7963

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907000768 CO Practitioner - Physician Assistant 6204210420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Clinics LLCGroup PAC ID 5597136218, 49 clinicians

Practice addresses (Care Compare)

702 W Drake Rd
Suite D
Fort Collins, CO 80526-5563
Phone (970) 493-9193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Council on Alcoholism and Drug Abuse CurrentSince Aug 22, 2025 Accepting new patients
Rocky Mountain Clinics, LLC CurrentSince Dec 16, 2022 Accepting new patients
Mile High Council on Alcoholism and Drug Abuse CurrentSince Aug 22, 2025 Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Single Specialty Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics, LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Single Specialty Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients

Locations (25 of 30)

10190 E Montview Blvd
Aurora, CO 80010
Phone (303) 318-4242

2178 Victor St
Aurora, CO 80045
Phone (303) 341-9160

2224 S Fraser St
Unit 3
Aurora, CO 80014
Phone (720) 484-4428

4720 Table Mesa Dr
Ste B100
Boulder, CO 80305
Phone (720) 476-7957

1861 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 419-7735

7190 Colorado Blvd
Ste 340
Commerce City, CO 80022
Phone (303) 467-2624

4242 Delaware St
Denver, CO 80216
Phone (720) 382-5900

1485 Florida Rd
Ste 203C
Durango, CO 81301
Phone (970) 247-9415

1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524

1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268

360 Peak One Dr
Ste 110
Frisco, CO 80443
Phone (970) 668-3478

360 Peak One Dr
Ste 110D
Frisco, CO 80443
Phone (970) 485-6676

17301 W Colfax Ave
Ste 275
Golden, CO 80401
Phone (303) 681-1894

2478 Patterson Rd
Ste 18
Grand Junction, CO 81505
Phone (970) 644-5303

8223 W 20th St
Ste 100A
Greeley, CO 80634
Phone (970) 702-2705

304 W Tomichi Ave
Ste 23
Gunnison, CO 81230
Phone (970) 644-5303

313 W 3rd St
Ste 200
La Junta, CO 81050
Phone (209) 309-1885

8015 W Alameda Ave
Ste 260
Lakewood, CO 80226
Phone (303) 744-3477

11000 County Road GG.5
Las Animas, CO 81054
Phone (719) 456-2600

1308 Vivian St
Longmont, CO 80501
Phone (303) 682-9197

1640 Topaz Dr
Loveland, CO 80537
Phone (720) 326-9317

11172 Huron St
Ste 20
Northglenn, CO 80234
Phone (303) 568-9694

1249 E Routt Ave
Pueblo, CO 81004
Phone (720) 808-0051

710 Hunter Dr
Pueblo, CO 81001
Phone (719) 225-8246

3460 S Federal Blvd
Sheridan, CO 80110
Phone (303) 761-0200

Organizations & group practices 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1053994111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL STE B119",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452601",
            "telephone_number": "303-724-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL STE B119",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452601",
            "telephone_number": "303-724-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLENDIR",
        "first_name": "JACOB",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007465",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.