Active NPI
Jacob Krause, PA
- Physician Assistant
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0003542
- Practice address
- 700 Delaware St
2ND Floor, North Tower
Denver, CO 80204-4532 - Phone
- (303) 602-7600
- NPI assigned
- Aug 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA06868 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 0003542 | CO | Primary |
Addresses
Primary practice location
700 Delaware St
2ND Floor, North Tower
Denver, CO 80204-4532
Mailing address
700 Delaware St
2ND Floor, North Tower
Denver, CO 80204-4532
Phone (303) 602-7600
Other practice location 1
501 Saunders Ave Ste 320
Tyler, TX 75702-7524
Phone (903) 606-4300
Other practice location 2
910 E Houston St Ste 330
Tyler, TX 75702-8368
Phone (903) 606-7995
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827N58 | Other | TX | BCBS |
| 216997101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003542 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
777 Bannock St
Denver, CO 80204
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
910 E Houston St
Ste 550
Tyler, TX 75702
Phone (903) 510-8718
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
501 Saunders Ave
Ste 320
Tyler, TX 75702
Phone (903) 606-4300
Interoperability endpoints
- jkrause6612@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1073827820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 DELAWARE ST",
"address_2": "2ND FLOOR, NORTH TOWER",
"city": "DENVER",
"state": "CO",
"postal_code": "802044532",
"telephone_number": "303-602-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 DELAWARE ST",
"address_2": "2ND FLOOR, NORTH TOWER",
"city": "DENVER",
"state": "CO",
"postal_code": "802044532",
"telephone_number": "303-602-7600"
}
],
"practiceLocations": [
{
"address_1": "501 Saunders Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757027524",
"country_code": "US",
"telephone_number": "903-606-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 E Houston St Ste 330",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028368",
"country_code": "US",
"telephone_number": "903-606-7995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAUSE",
"first_name": "JACOB",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA06868",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "0003542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "827N58",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216997101",
"state": "TX"
}
],
"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 Jun 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.