Individual provider Active NPI

Jason Rogers, PA

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1306380266
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9109950 Issued in FL
Practice address
313 W Drake Rd
Fort Collins, CO 80526-2846
Phone
(970) 632-0135
NPI assigned
Dec 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0005936 CO
Physician Assistant 363A00000X 54044 CA
Physician Assistant 363A00000X 9109950 FL Primary

Addresses

Primary practice location

313 W Drake Rd
Fort Collins, CO 80526-2846

Mailing address

1720 Kirkwood Dr Apt N29
Fort Collins, CO 80525-2027
Phone (970) 632-0135

Other practice location 1

3160 Southgate Commerce Blvd
Suite 64
Orlando, FL 32806-8549
Phone (407) 857-8860

Other practice location 2

1211 Cortina Dr
Orland, CA 95963-1699
Phone (530) 865-5544

Other practice location 3

1065 Bucks Lake Rd
Quincy, CA 95971-9599
Phone (530) 283-7161

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrogers@PDH.cernerdirect.com Direct
Direct Messaging Address jrogers@starlighthealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20180208001917 CA Practitioner - Physician Assistant 0244511731 Reassigns benefits to 1 organization
I20240202000866 CO Practitioner - Physician Assistant 0244511731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

313 W Drake Rd
Fort Collins, CO 80526-2846
Phone (970) 614-4306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0005936COMDPhysician Assistant
9109950FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Plumas District Hospital CurrentSince Jul 8, 2019 Accepting new patients
Plumas District Hospital CurrentSince Jul 8, 2019 Accepting new patients
The Franz Center, P.a Past Accepting new patients

Locations

1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121

Interoperability endpoints

  • Direct secure messaging: jrogers@pdh.cernerdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1306380266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 KIRKWOOD DR APT N29",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252027",
            "telephone_number": "970-632-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W DRAKE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262846",
            "telephone_number": "970-632-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Southgate Commerce Blvd",
            "address_2": "Suite 64",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328068549",
            "country_code": "US",
            "telephone_number": "407-857-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Cortina Dr",
            "address_purpose": "LOCATION",
            "city": "Orland",
            "state": "CA",
            "postal_code": "959631699",
            "country_code": "US",
            "telephone_number": "530-865-5544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 Bucks Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "CA",
            "postal_code": "959719599",
            "country_code": "US",
            "telephone_number": "530-283-7161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JASON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-12",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0005936",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54044",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrogers@PDH.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Plumas District Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1065 Bucks Lake Rd",
            "city": "Quincy",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959719599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrogers@starlighthealth.com",
            "affiliation": "N",
            "endpointDescription": "Starlight Health Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "313 W Drake Rd",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805262846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.