NPIMap

Individual provider Active NPI

Jessica Roat, PA-C

  • Physician Assistant
  • Greeley, CO
National Provider Identifier
1770321663
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0008972 Issued in CO
Practice address
1010 A St
Greeley, CO 80631-2021
Phone
(970) 313-0400
Fax
(970) 353-5884
NPI assigned
Jul 16, 2024
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0008972 CO Primary

Addresses

Primary practice location

1010 A St
Greeley, CO 80631-2021

Mailing address

5664 Kipling Pkwy Unit 308
Arvada, CO 80002-2179

Other practice location 1

5664 Kipling Pkwy Unit 308
Arvada, CO 80002-2179
Phone (301) 520-4527

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
I20250224000209 CO Practitioner - Physician Assistant 8527588441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Community HealthGroup PAC ID 0648164780, 51 clinicians

Practice addresses (Care Compare)

100 N 11TH Ave
Greeley, CO 80631-2011
Phone (970) 352-8898

1010 A St
Greeley, CO 80631-2021
Phone (970) 313-0400

1300 N 17TH Ave
Greeley, CO 80631-9584
Phone (970) 350-5313

302 3Rd St SE
Suite 150
Loveland, CO 80537-6419
Phone (970) 669-4855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0008972COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Community Health CurrentSince Feb 10, 2025 Accepting new patients
Sunrise Community Health Past Accepting new patients

Locations

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

1010 A St
Greeley, CO 80631
Phone (970) 313-0400

1300 N 17th Ave
Greeley, CO 80631
Phone (970) 475-6016

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 461-8942

Interoperability endpoints

  • Direct secure messaging: jessica.roat.1@27043.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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1770321663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 KIPLING PKWY UNIT 308",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 A ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806312021",
            "telephone_number": "970-313-0400",
            "fax_number": "970-353-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5664 Kipling Pkwy Unit 308",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800022179",
            "country_code": "US",
            "telephone_number": "301-520-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROAT",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0008972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.