NPIMap

Individual provider Active NPI

Jarred C Pinnick, PA-C

  • Physician Assistant
  • Bozeman, MT
National Provider Identifier
1205078458
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
66731 Issued in MT
Practice address
1450 Ellis St Ste 201
Bozeman, MT 59715
Phone
(406) 587-0122
Fax
(844) 656-2480
NPI assigned
Apr 2, 2009
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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 2752 CO
Physician Assistant 363A00000X 66731 MT Primary

Addresses

Primary practice location

1450 Ellis St Ste 201
Bozeman, MT 59715

Mailing address

1450 Ellis St Ste 201
Bozeman, MT 59715-8813
Phone (406) 587-0122

Other practice location 1

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone (303) 233-1223

Other practice location 2

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone (303) 233-1223

Other practice location 3

8101 E Lowry Blvd Ste 230
Denver, CO 80230-7195
Phone (303) 344-9090

Other practice location 4

11960 Lioness Way Ste 260
Parker, CO 80134-5640
Phone (303) 344-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20180508000375 MT Practitioner - Physician Assistant 1557411691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

1450 Ellis St
Suite 201
Bozeman, MT 59715-8813
Phone (406) 587-0122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2752COMDPhysician Assistant
66731MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedic Walk in Clinic PC Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jarred.pinnick.1@12906.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1205078458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158813",
            "telephone_number": "406-587-0122",
            "fax_number": "844-656-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-0122",
            "fax_number": "844-656-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Golden Ridge Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804019541",
            "country_code": "US",
            "telephone_number": "303-233-1223",
            "fax_number": "303-233-8755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 Golden Ridge Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804019541",
            "country_code": "US",
            "telephone_number": "303-233-1223",
            "fax_number": "303-233-8755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 E Lowry Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "fax_number": "303-344-1922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11960 Lioness Way Ste 260",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345640",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "fax_number": "720-895-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINNICK",
        "first_name": "JARRED",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2752",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "66731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.