NPIMap

Individual provider Active NPI

Jordan Osterman, PA

  • Physician Assistant
  • Murray, UT
National Provider Identifier
1144787805
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11820832-1206 Issued in UT
Practice address
5169 S Cottonwood St Ste 400
Murray, UT 84107-6769
Phone
(303) 931-2731
NPI assigned
Feb 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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 PA.0006153 CO
Surgical Physician Assistant 363AS0400X 11820832-1206 UT
Physician Assistant 363A00000X 11820832-1206 UT Primary

Addresses

Primary practice location

5169 S Cottonwood St Ste 400
Murray, UT 84107-6769

Mailing address

5169 S Cottonwood St Ste 400
Murray, UT 84107-6769
Phone (303) 931-2731

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
I20200513001801 CO Practitioner - Physician Assistant 5294166997 Reassigns benefits to 3 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
Eastern Rio Blanco County Health Service DistrictGroup PAC ID 0345249751, 41 clinicians
Usacs Observation Medicine Services of Colorado Inc.Group PAC ID 9133498074, 73 clinicians

Practice addresses (Care Compare)

100 Pioneers Medical Ctr Dr
Meeker, CO 81641-3181
Phone (970) 878-5047

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

Hospital & facility affiliations

  • Eastern Rio Blanco County Health Service District Hospital, Meeker, CO, CCN 061325
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006153COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Rio Blanco County Health Service District CurrentSince Nov 20, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Feb 2, 2026 Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Nov 20, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Feb 2, 2026 Accepting new patients

Locations

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

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

Interoperability endpoints

  • Direct secure messaging: jordan.osterman.1@31155.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1144787805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5169 S COTTONWOOD ST STE 400",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076769",
            "telephone_number": "303-931-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 S COTTONWOOD ST STE 400",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076769",
            "telephone_number": "303-931-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERMAN",
        "first_name": "JORDAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006153",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "UT",
            "license": "11820832-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11820832-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.