Individual provider Active NPI

Jill Truesdale, PA-C

  • Physician Assistant
  • Broomfield, CO
National Provider Identifier
1336633296
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005466 Issued in CO
Practice address
1190 US Highway 287
Broomfield, CO 80020-7021
Phone
(303) 544-3800
NPI assigned
Jun 14, 2018
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005466 CO Primary
Physician Assistant 363A00000X PT765 WY

Addresses

Primary practice location

1190 US Highway 287
Broomfield, CO 80020-7021

Mailing address

1190 US Highway 287
Broomfield, CO 80020-7021
Phone (303) 544-3800

Other names 1

  • Jill Cronk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, 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
I20180912003059 WY Practitioner - Physician Assistant 1052661022 Reassigns benefits to 2 organizations
I20191022000716 CO Practitioner - Physician Assistant 1052661022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1159 Eagle Dr
Urgent Care Eagle Drive
Loveland, CO 80537-8020
Phone (970) 219-5223

1190 US Hwy 287
Broomfield, CO 80020-7021
Phone (303) 544-3800

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234

2101 Main St
Longmont, CO 80501-1406
Phone (720) 745-8020

221 E 29TH St
Loveland, CO 80538-2746

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

4846 Larimer Pkwy
BLDG 1
Johnstown, CO 80534-9012
Phone (970) 624-2830

5965 Firestone Blvd
Firestone, CO 80504-6607
Phone (303) 678-4340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PT765WYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital CurrentSince Aug 1, 2018 Accepting new patients
Community Hospital CurrentSince Aug 1, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince May 30, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince May 30, 2023 Accepting new patients
Emergency Professionals of Colorado, PC Physician Assistant CurrentSince Mar 1, 2022 Accepting new patients
Poudre Valley Medical Group, LLC PastSince Jul 1, 2022 Accepting new patients
Emergency Professionals of Colorado, PC Physician Assistant Past Accepting new patients
Emergency Professionals of Colorado, PC Physician Assistant Past Accepting new patients
Emergency Professionals of Colorado, PC Physician Assistant Past Accepting new patients
Summit Medical Group, LLC PastSince Nov 22, 2020 Accepting new patients

Locations

1190 US Highway 287
Broomfield, CO 80020
Phone (303) 544-3800

5965 Firestone Blvd
Firestone, CO 80504
Phone (720) 652-7055

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 652-2447

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

2101 Main St
Longmont, CO 80501
Phone (720) 745-8030

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1336633296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 US HIGHWAY 287",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207021",
            "telephone_number": "303-544-3800",
            "fax_number": "303-544-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 US HIGHWAY 287",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207021",
            "telephone_number": "303-544-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUESDALE",
        "first_name": "JILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005466",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "CRONK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.