NPIMap

Individual provider Active NPI

Justin Jester, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1144590969
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07737 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(214) 820-0111
NPI assigned
Jan 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX
Physician Assistant 363A00000X PA07737 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

7501 McMillian CT
Arlington, TX 76016-5332
Phone (801) 836-1760

Other identifiers 1

IdentifierTypeStateIssuer
318098601MedicaidTX

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
I20180620002964 CO Practitioner - Physician Assistant 0840452256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Observation Medicine Services of Colorado Inc.Group PAC ID 9133498074, 73 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161

2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333

6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 571-1476

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA07737TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado, Inc CurrentSince Jun 6, 2018 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc. CurrentSince Jun 6, 2018 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jun 6, 2018 Accepting new patients
Usacs of Colorado Inc CurrentSince Jun 6, 2018 Accepting new patients
Hebron Emergency Physicians PLLC Past Accepting new patients
Emcare DFW Emergency Physicians PLLC Past Accepting new patients
Grapevine Emergency Physicians PLLC Physician Assistant Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Dallas Emergency Physicians PLLC Past Accepting new patients
Ellis Emergency Physicians PLLC Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
Emcare GLT Emergency Physicians PLLC Past Accepting new patients

Locations

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1144590969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 MCMILLIAN CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165332",
            "telephone_number": "801-836-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTER",
        "first_name": "JUSTIN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318098601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.