Jessica Alison, PA-C
Individual provider Active NPI Surgical Physician Assistant · Loveland, CO
NPI 1578873154 · NPPES record last updated Oct 13, 2017
Key facts
- NPI
- 1578873154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 005939 (GA)
- Practice address
- 2555 E 13TH St Ste 110
Loveland, CO 80537-5134 - Phone
- (970) 820-4264
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Health Physicians Colorado LLC
Practice addresses (Care Compare)
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121
Hospital & facility affiliations
- Banner North Colorado Medical Center
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 |
|---|---|---|---|---|
| I20170626001778 | CO | Practitioner - Physician Assistant | 7113116252 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians Colorado LLC | Current |
Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current |
Accepting new patients | |
| Cartersville Surgical Associates, P.C. | Past | Accepting new patients |
Locations
2001 70th Ave
Ste 110
Greeley, CO 80634
Phone (970) 378-4155
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
2555 E 13th St
Ste 110
Loveland, CO 80537
Phone (970) 461-6140
Interoperability endpoints
- jessica.alison.2@14940.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 005939 | GA | Yes |
Addresses
Primary practice location
2555 E 13TH St Ste 110
Loveland, CO 80537-5134
Mailing address
2555 E 13TH St Ste 110
Loveland, CO 80537-5134
Phone (970) 820-6140
Other providers in Loveland, CO
- Grace Alessi
- Jenna Marie Alessi
- Sheri R Aletich
- Elizabeth Pittman Alexander
- Ariana Alipour
- Danielle Allen
- Jennifer Riley Allen
- Logan Allen
- Martha A Allen
- Thomas Joseph Allen
All providers in Loveland, CO · Surgical 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 Oct 13, 2017. 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.