NPIMap

Individual provider Active NPI

Corey Jewell

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1083244933
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006002 Issued in CO
Practice address
601 E Hampden Ave Ste 310
Englewood, CO 80113-2769
Phone
(706) 863-9595
Fax
(706) 868-8375
NPI assigned
Jan 20, 2020
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006002 CO Primary

Addresses

Primary practice location

601 E Hampden Ave Ste 310
Englewood, CO 80113-2769

Mailing address

PO Box 12330
Augusta, GA 30914-2330
Phone (706) 863-9595

Other practice location 1

501 E Hampden Ave
Englewood, CO 80113-2702
Phone (855) 863-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304000771 CO Practitioner - Physician Assistant 9830526805 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Colorado PCGroup PAC ID 6204748452, 6 clinicians

Practice addresses (Care Compare)

2000 S Colorado Blvd
Suite 420
Denver, CO 80222-7907
Phone (720) 524-1550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as individual
Quality
38.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006002COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado PC Physician Assistant CurrentSince Aug 19, 2022 Accepting new patients
Inpatient Consultants of Colorado, PC Physician Assistant Past Accepting new patients

Locations

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700

150 Spring St
Morrison, CO 80465
Phone (303) 697-8181

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1083244933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12330",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309142330",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 310",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132769",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132702",
            "country_code": "US",
            "telephone_number": "855-863-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "COREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.