Active NPI
Jacob A. Weirich, PA-C
- Physician Assistant
- Grand Junction, CO
National Provider Identifier
1174925309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004273
- Practice address
- 2635 N 7TH St
Grand Junction, CO 81501 - Phone
- (970) 298-2551
- NPI assigned
- Sep 18, 2014
- Last updated
- May 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5823 | AZ | |
| Physician Assistant | 363A00000X | PA.0004273 | CO | Primary |
Addresses
Primary practice location
2635 N 7TH St
Grand Junction, CO 81501
Mailing address
2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-2551
Other practice location 1
569 32 Road
Unit 12
Grand Junction, CO 81504-6095
Phone (970) 523-3544
Other practice location 2
569 32 Road
Unit 12
Grand Junction, CO 81504-6095
Phone (970) 523-3544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 553172YYS0 | Other | CO | MEDICARE B FOR MOUNTAIN PEAKS URGENT CARE |
| 22506080 | Medicaid | CO |
Other names 1
- Jacob Weirich
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.63 of 100
- Quality
- 97.27
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5823 | AZ | MD | Physician Assistant |
| PA.0004273 | CO | MD | Physician Assistant |
Organizations & group practices 4
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.
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- Emergency Medicine Physician
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- NPI 1275516346
-
- Internal Medicine Physician
- Montrose, CO
- NPI 1902804032
-
- Emergency Medicine Physician
- Grand Junction, CO
- NPI 1780626069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1174925309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018209",
"telephone_number": "970-298-2551",
"fax_number": "970-298-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81501",
"telephone_number": "970-298-2551"
}
],
"practiceLocations": [
{
"address_1": "569 32 Road",
"address_2": "Unit 12",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815046095",
"country_code": "US",
"telephone_number": "970-523-3544",
"fax_number": "970-434-3422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "569 32 Road",
"address_2": "Unit 12",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815046095",
"country_code": "US",
"telephone_number": "970-523-3544",
"fax_number": "970-434-3422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIRICH",
"first_name": "JACOB",
"middle_name": "A.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-18",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5823",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B FOR MOUNTAIN PEAKS URGENT CARE",
"identifier": "553172YYS0",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22506080",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACOB",
"last_name": "WEIRICH",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.