Active NPI
Jordan Muell, PA
- Physician Assistant
- Westminster, CO
National Provider Identifier
1225288624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2610
- Practice address
- 2551 W. 84TH Ave.
Emergency Department
Westminster, CO 80030 - Phone
- (303) 426-2020
- Fax
- (303) 426-2164
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2610 | CO | Primary |
Addresses
Primary practice location
2551 W. 84TH Ave.
Emergency Department
Westminster, CO 80030
Mailing address
550 S Wadsworth Blvd
Suite 410
Lakewood, CO 80226-3111
Phone (303) 202-1280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13922742 | Medicaid | CO | |
| P00806240 | Other | CO | RR MEDICARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2610 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Emergency Services, Inc | Past | Accepting new patients | |
| Apex Emergency Group, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1740231356
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1457755688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1225288624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S WADSWORTH BLVD",
"address_2": "SUITE 410",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263111",
"telephone_number": "303-202-1280",
"fax_number": "303-202-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 W. 84TH AVE.",
"address_2": "EMERGENCY DEPARTMENT",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "80030",
"telephone_number": "303-426-2020",
"fax_number": "303-426-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELL",
"first_name": "JORDAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13922742",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00806240",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
- Mountain View Family Dental Westminster PLLC
- Mountain West Dialysis Services LLC (North Metro Dialysis Center)
- Mountainside Family Chiropractic PC
- Kelly Mozena, LCSW
- Cara L Mudd, DDS, MSD
- Kaitlyn Muhlbauer, PA
- Rebecca Mullen, M.D., MPH
- Alexandria Muller, PT, DPT
- Cameren Eileen Muller, OTR/L
- Heidi Jo Muncy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.