Individual provider Active NPI

Jacob Krause, PA

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1073827820
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0003542 Issued in CO
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

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
827N58OtherTXBCBS
216997101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101103000150 TX Practitioner - Physician Assistant 8426242538 Reassigns benefits to 1 organization
I20121205000005 CO Practitioner - Physician Assistant 8426242538 Reassigns benefits to 1 organization

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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

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

LicenseStateTypeSpecialty
0003542COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Oct 25, 2012 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 20, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 25, 2012 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 20, 2021 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.