Individual provider Active NPI

Jaime Lee Pingatore, PA-C

  • Physician Assistant
  • Johnstown, CO
National Provider Identifier
1215367198
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0003718 Issued in CO
Practice address
4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Phone
(970) 619-8139
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 0003718 CO Primary

Addresses

Primary practice location

4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566

Mailing address

4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Phone (970) 619-8139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0003718COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Pathways Past Accepting new patients
Pediatric Journeys LLC PastSince Sep 1, 2025 Accepting new patients
Thompson River Pediatrics and Urgent Care, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1215367198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 RONALD REAGAN BLVD",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346566",
            "telephone_number": "970-619-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 RONALD REAGAN BLVD",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346566",
            "telephone_number": "970-619-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGATORE",
        "first_name": "JAIME",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0003718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.