Individual provider Active NPI

Jill J Jakowich, P.A

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1265546402
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1830 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 1830 CO Primary

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

499 E Hampden Ave
Ste 420
Englewood, CO 80113-2794
Phone (303) 493-7000

Other identifiers 1

IdentifierTypeStateIssuer
43081371MedicaidCO

Other names 1

  • Jill J Jakowich Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000280 CO Practitioner - Physician Assistant 4789586173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Practice addresses (Care Compare)

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 563-2784

501 E Hampden Ave
(SLS Swedish Medical Center)
Englewood, CO 80113-2702
Phone (303) 788-5000

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • HCA Healthone Mountain Ridge Hospital, Thornton, CO, CCN 060065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1830COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Hospitalist Services, PLLC Physician Assistant CurrentSince Sep 24, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

Organizations & group practices 4

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 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1265546402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "STE 420",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132794",
            "telephone_number": "303-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOWICH",
        "first_name": "JILL",
        "middle_name": "J",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43081371",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "JAKOWICH",
            "middle_name": "J",
            "credential": "P.A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.