NPIMap

Individual provider Active NPI

Sarah Jacobs

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1093477713
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008464 Issued in CO
Practice address
1411 S Potomac St Ste 190
Aurora, CO 80012-4542
Phone
(303) 364-1057
NPI assigned
Oct 11, 2021
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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 10003483A IN
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA.0008464 CO Primary

Addresses

Primary practice location

1411 S Potomac St Ste 190
Aurora, CO 80012-4542

Mailing address

2061 Chester St Unit 1205
Aurora, CO 80010-2494
Phone (812) 449-2847

Other practice location 1

5330 E Stop 11 Rd
Indianapolis, IN 46237-6345
Phone (317) 893-1900

Other practice location 2

523 Parkway Ave
Indianapolis, IN 46203-1839
Phone (812) 449-2847

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjacobs606182@Direct.FranciscanAlliance.org Direct

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
I20240919004006 CO Practitioner - Physician Assistant 2668865916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartistic Colorado LLCGroup PAC ID 2466846498, 3 clinicians

Practice addresses (Care Compare)

1411 S Potomac St
Suite 430
Aurora, CO 80012-4542
Phone (303) 364-1057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as apm
Quality
90.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10003483AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.jacobs.1@21568.direct.athenahealth.com

Organizations & group practices 2

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1093477713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 CHESTER ST UNIT 1205",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102494",
            "telephone_number": "812-449-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 190",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124542",
            "telephone_number": "303-364-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 E Stop 11 Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376345",
            "country_code": "US",
            "telephone_number": "317-893-1900",
            "fax_number": "317-893-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 Parkway Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462031839",
            "country_code": "US",
            "telephone_number": "812-449-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003483A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjacobs606182@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5330 E Stop 11 Rd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.