Individual provider Active NPI

Jacob Tyler Jarreau, PA

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1265015382
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
601 E Hampden Ave Ste 310
Englewood, CO 80113-2769
Phone
(303) 788-5000
NPI assigned
May 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 Primary

Addresses

Primary practice location

601 E Hampden Ave Ste 310
Englewood, CO 80113-2769

Mailing address

601 E Hampden Ave Ste 310
Englewood, CO 80113-2769
Phone (615) 916-1885

Other identifiers 2

IdentifierTypeStateIssuer
PA.0008437OtherCOSTATE LICENSE #
4625OtherTNSTATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210726002414 TN Practitioner - Physician Assistant 4587067772 Reassigns benefits to 1 organization
I20241025001508 CO Practitioner - Physician Assistant 4587067772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Range Spine and NeurosurgeryGroup PAC ID 7214966720, 12 clinicians
Healthone Clinic Services Orthopedic Specialists LLCGroup PAC ID 5799972725, 81 clinicians

Practice addresses (Care Compare)

10099 Ridgegate Pkwy
Suite 310
Lone Tree, CO 80124-5534
Phone (303) 790-1800

601 E Hampden Ave
Suite 310
Englewood, CO 80113-2769
Phone (303) 788-6466

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4625TNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services Orthopedic Specialists LLC CurrentSince Dec 12, 2025 Accepting new patients
Ut Regional One Physicians Inc Physician Assistant CurrentSince Aug 2, 2021 Accepting new patients

Locations

601 E Hampden Ave
Ste 310
Englewood, CO 80113
Phone (303) 788-6466

701 E Hampden Ave
Ste 5
Englewood, CO 80113
Phone (303) 209-2503

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1265015382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 310",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132769",
            "telephone_number": "615-916-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 310",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132769",
            "telephone_number": "303-788-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARREAU",
        "first_name": "JACOB",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "PA.0008437",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "4625",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.