NPIMap

Individual provider Active NPI

Jennifer R Roland, P.A.

  • Medical Physician Assistant
  • Boulder, CO
National Provider Identifier
1275675993
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1503 Issued in CO
Practice address
1840 Folsom St Ste 105
Boulder, CO 80302-5712
Phone
(303) 763-4900
Fax
(303) 440-3251
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1503 CO Primary

Addresses

Primary practice location

1840 Folsom St Ste 105
Boulder, CO 80302-5712

Mailing address

1715 Iron Horse Dr
Ste 100
Longmont, CO 80501-9617
Phone (303) 494-7773

Other practice location 1

1715 Iron Horse Dr Ste 100
Longmont, CO 80501-9617
Phone (303) 763-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000337 CO Practitioner - Physician Assistant 8123120672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Colorado Medical Group LLCGroup PAC ID 2769706431, 187 clinicians
Spine West a Professional LLCGroup PAC ID 0749264968, 9 clinicians

Practice addresses (Care Compare)

Colorado Springs, CO 80903
Phone (719) 538-2900

1625 Medical Ctr PT
Suite 290
Colorado Springs, CO 80907-8722
Phone (719) 635-5148

5387 Manhattan Cir
Suite 200
Boulder, CO 80303-4283
Phone (303) 494-7773

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1503COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
New West Physicians Inc CurrentSince May 19, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
New West Physicians Inc CurrentSince May 19, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients

Locations

1840 Folsom St
Ste 105
Boulder, CO 80302
Phone (303) 862-3303

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

1715 Iron Horse Dr
Ste 100
Longmont, CO 80501
Phone (720) 215-3572

1910 Coalton Rd
Superior, CO 80027

3455 Lutheran Pkwy
Ste 100
Wheat Ridge, CO 80033
Phone (303) 318-2900

Interoperability endpoints

  • Direct secure messaging: jroland120959@westdirect.optum.com

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1275675993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 IRON HORSE DR",
            "address_2": "STE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019617",
            "telephone_number": "303-494-7773",
            "fax_number": "303-494-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FOLSOM ST STE 105",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025712",
            "telephone_number": "303-763-4900",
            "fax_number": "303-440-3251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 Iron Horse Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805019617",
            "country_code": "US",
            "telephone_number": "303-763-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.