Individual provider Active NPI

Jessica Botts, PA-C

  • Physician Assistant
  • Castle Rock, CO
National Provider Identifier
1184191868
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0005613 Issued in CO
Practice address
755 S Perry St Ste 100
Castle Rock, CO 80104-1923
Phone
(303) 688-8989
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0005613 CO Primary

Addresses

Primary practice location

755 S Perry St Ste 100
Castle Rock, CO 80104-1923

Mailing address

600 W County Line Rd Apt 27-103
Highlands Ranch, CO 80129-6534
Phone (661) 623-6594

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
I20181210001811 CO Practitioner - Physician Assistant 4183968696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

4700 Castleton Way
Suite 200
Castle Rock, CO 80109-7897
Phone (888) 374-5066

9135 Ridgeline Blvd
Suite 160
Highlands Ranch, CO 80129-2395
Phone (719) 540-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0005613COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Physician Assistant CurrentSince Mar 28, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Mar 28, 2025 Accepting new patients
Sara Van Anrooy, M.D., P.C. Past Accepting new patients

Locations

4700 Castleton Way
Ste 200
Castle Rock, CO 80109

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1184191868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W COUNTY LINE RD APT 27-103",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296534",
            "telephone_number": "661-623-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S PERRY ST STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041923",
            "telephone_number": "303-688-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTS",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0005613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.