Individual provider Active NPI

Jon Mackay Scriver, PA-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1215057682
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0003901 Issued in CO
Practice address
15556 Olmsted PL
Denver, CO 80239-6606
Phone
(210) 373-9479
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04206 TX
Medical Physician Assistant 363AM0700X PA.0003901 CO Primary

Addresses

Primary practice location

15556 Olmsted PL
Denver, CO 80239-6606

Mailing address

2418 E Highway 66 # 226
Gallup, NM 87301-4767
Phone (210) 373-9479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090529000182 TX Practitioner - Physician Assistant 5496804171 Reassigns benefits to 2 organizations
I20110811000602 NM Practitioner - Physician Assistant 5496804171 Reassigns benefits to 1 organization
I20160404002256 CO Practitioner - Physician Assistant 5496804171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.18 of 100Reported as group
Quality
61.12
Improvement activities
40
Cost
81.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0003901COMDMedical Physician Assistant
PA04206TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Urgent Care PLLC CurrentSince Feb 18, 2021 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince May 29, 2018 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince May 29, 2018 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Oct 20, 2010 Accepting new patients
Urgent Care Solutions Glendale, P.C. CurrentSince Nov 16, 2016 Accepting new patients

Locations

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

18890 E Hampden Ave
Aurora, CO 80013
Phone (303) 617-1604

777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1215057682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E HIGHWAY 66 # 226",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014767",
            "telephone_number": "210-373-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15556 OLMSTED PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802396606",
            "telephone_number": "210-373-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVER",
        "first_name": "JON",
        "middle_name": "MACKAY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0003901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.