Active NPI
Jessica Elizabeth Boone, PA-C
- Physician Assistant
- Centennial, CO
National Provider Identifier
1710224746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0006790
- Practice address
- 9110 E Nichols Ave Ste 150
Centennial, CO 80112-5093 - Phone
- (888) 538-4185
- NPI assigned
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22626 | CA | |
| Physician Assistant | 363A00000X | PA.0006790 | CO | Primary |
Addresses
Primary practice location
9110 E Nichols Ave Ste 150
Centennial, CO 80112-5093
Mailing address
6400 S Fiddlers Green Cir Ste 300
Greenwood Village, CO 80111-4955
Phone (888) 538-4185
Other practice location 1
1201 S Parker Rd Ste 101
Denver, CO 80231-2154
Phone (888) 538-4185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22626 | CA | MD | Physician Assistant |
| PA.0006790 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach State Medical Practice, PC | Past | Accepting new patients | |
| Posterity Mens Health Ca, PC | Past | Accepting new patients | |
| Peach State Medical Practice, PC | Past | Accepting new patients | |
| Richard Joseph Schmidt M.D., Inc | Past | Accepting new patients | |
| Posterity Men'S Health, P.C. | Past | Accepting new patients | |
| Fahimeh Sasan,D.O., P.C | Past | Accepting new patients |
Interoperability endpoints
- jessica.boone.1@29754.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Denver, CO
- NPI 1093452161
-
- Reproductive Endocrinology Physician
- San Francisco, CA
- NPI 1891355863
-
- Reproductive Endocrinology Physician
- Atlanta, GA
- NPI 1891390084
-
- Reproductive Endocrinology Physician
- North Bethesda, MD
- NPI 1962116806
-
- Urology Physician
- Rancho Santa Fe, CA
- NPI 1023727328
-
- Reproductive Endocrinology Physician
- Mountain View, CA
- NPI 1942194568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1710224746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 S FIDDLERS GREEN CIR STE 300",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114955",
"telephone_number": "888-538-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9110 E NICHOLS AVE STE 150",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801125093",
"telephone_number": "888-538-4185"
}
],
"practiceLocations": [
{
"address_1": "1201 S Parker Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802312154",
"country_code": "US",
"telephone_number": "888-538-4185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOONE",
"first_name": "JESSICA",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22626",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0006790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.