NPIMap

Individual provider Active NPI

Jessica Alison, PA-C

  • Surgical Physician Assistant
  • Loveland, CO
National Provider Identifier
1578873154
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
005939 Issued in GA
Practice address
2555 E 13TH St Ste 110
Loveland, CO 80537-5134
Phone
(970) 820-4264
NPI assigned
Oct 15, 2010
Last updated
Oct 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 005939 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626001778 CO Practitioner - Physician Assistant 7113116252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince May 17, 2017 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince May 17, 2017 Accepting new patients
Cartersville Surgical Associates, P.C. Past Accepting new patients

Locations

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

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2001 70th Ave
Ste 110
Greeley, CO 80634
Phone (970) 378-4155

2555 E 13th St
Ste 110
Loveland, CO 80537
Phone (970) 461-6140

Interoperability endpoints

  • Direct secure messaging: jessica.alison.2@14940.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1578873154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST STE 110",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375134",
            "telephone_number": "970-820-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST STE 110",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375134",
            "telephone_number": "970-820-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALISON",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "005939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.