Jamie Lewallen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1638 Issued in CO

Practice address

26659 Pleasant Park Rd
Conifer, CO 80433-7714

Phone

(303) 647-5300

NPI assigned

Nov 2, 2006

Last updated

Dec 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Conifer Medical Center, PC

  • Primary Care Clinic/Center
  • Conifer, CO
  • NPI 1831166412
  Medicare reassignment

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1346328408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337714",
            "telephone_number": "303-647-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337714",
            "telephone_number": "303-647-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "JAMIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CONIFERMED.COM",
            "affiliation": "N",
            "endpointDescription": "CONIFER MEDICAL CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CONIFER MEDICAL CENTER",
            "address_1": "26659 Pleasant Park Rd",
            "city": "Conifer",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804337714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betsy Ann Kuglin, LMT
• Heidi Kupfer
• Laboratory Corporation of America
• Jeffrey Peter Leichtman, LCSW, LAC
• Daniel Levernier, DC
• Stephanie Marie Liedholm-Heining
• Callie Lindell
• David D Linn, MD
• Stephen Karl Linn, D.M.D.
• Living With Awareness Counseling Services LLC

• Physician Assistant in Conifer, CO
• Providers in Conifer, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.