Individual provider Active NPI

Melissa L Jones, PA-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1114087111
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
859 Issued in CO
Practice address
2373 Central Park Blvd
Suite 205
Denver, CO 80238
Phone
(303) 377-2494
Fax
(303) 377-2548
NPI assigned
Dec 11, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 859 CO Primary

Addresses

Primary practice location

2373 Central Park Blvd
Suite 205
Denver, CO 80238

Mailing address

2373 Central Park Blvd
Suite 205
Denver, CO 80238-2300
Phone (303) 377-2494

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
I20150713001208 CO Order and Referring Only - Physician Assistant 1456456789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
859COMDOptometrist

Interoperability endpoints

  • Direct secure messaging: melissa.jones@10826136944644.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1114087111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "SUITE 205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-377-2494",
            "fax_number": "303-377-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "SUITE 205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80238",
            "telephone_number": "303-377-2494",
            "fax_number": "303-377-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.