Jeffrey Wayne Rouse, PA-C
Individual provider Active NPI Physician Assistant · Colorado Springs, CO
NPI 1376601765 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1376601765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA.0002465 (CO)
- Practice address
- 1400 E Boulder St
Colorado Springs, CO 80909-5533 - Phone
- (719) 365-5000
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 94.16
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080820000056 | CO | Practitioner - Physician Assistant | 5698840080 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0002465 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Specialists, PC | Emergency Medicine | Current |
Accepting new patients |
| Kit Carson County Health Services District | Current |
Accepting new patients | |
| Emergency Medical Specialists, PC | Emergency Medicine | Current |
Accepting new patients |
| Kit Carson County Health Services District | Current |
Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0002465 | CO | Yes |
Addresses
Primary practice location
1400 E Boulder St
Colorado Springs, CO 80909-5533
Mailing address
PO Box 173891
Denver, CO 80217-3891
Phone (877) 346-2211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73230243 | Medicaid | CO |
Other providers in Colorado Springs, CO
- Roundup Fellowship Inc
- Roundup Fellowship Inc
- Amy Rounsavell
- Bradley Rounsavell
- Skylar Rousayne
- Bethanee Renee' Roussel
- Blake Roussel
- Jennifer Routt
- William Luke Rovig
- Hana Alise Rovin
All providers in Colorado Springs, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.