NPIMap

Individual provider Active NPI

Jessica Wieczorek, PA

  • Physician Assistant
  • Golden, CO
National Provider Identifier
1801440185
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6993 Issued in CO
Practice address
660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone
(303) 233-1223
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023725 NY
Physician Assistant 363A00000X 6993 CO Primary

Addresses

Primary practice location

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541

Mailing address

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone (303) 233-1223

Other practice location 1

315 So Manning Blvd
St. Peter's Hospital
Albany, NY 12208
Phone (518) 525-1550

Other names 1

  • Jessica Taylor Hoffman Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20211221001720 CO Practitioner - Physician Assistant 0345579140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians

Practice addresses (Care Compare)

1060 Plaza Dr
Highlands Ranch, CO 80129-2344
Phone (303) 233-1223

14000 E Arapahoe Rd
Suite 300
Centennial, CO 80112-4045
Phone (303) 233-1223

500 W 144TH Ave
Suite 120
Westminster, CO 80023-9326
Phone (303) 233-1223

640 Plaza Dr
Highlands Ranch, CO 80129-2399
Phone (303) 233-1223

660 Golden Ridge Rd
Golden, CO 80401-9541

Hospital & facility affiliations

  • Orthocolorado Hosp at St Anthony Med Campus Hospital, Lakewood, CO, CCN 060124
  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6993COMDDentist
023725NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Dec 6, 2021 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Dec 6, 2021 Accepting new patients
Panorama Orthopedics and Spine Center PC Physician Assistant Past Accepting new patients

Locations

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

640 Plaza Dr
Ste 130
Highlands Ranch, CO 80129

640 Plaza Dr
Ste 300
Highlands Ranch, CO 80129

Interoperability endpoints

  • Direct secure messaging: jhoffman789025@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1801440185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 So Manning Blvd",
            "address_2": "St. Peter's Hospital",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12208",
            "country_code": "US",
            "telephone_number": "518-525-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023725",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "6993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 So Manning Blvd",
            "address_2": "St. Peter's Hospital",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HOFFMAN",
            "middle_name": "TAYLOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.