NPIMap

Individual provider Active NPI

Jill Shepherd, PA-C

  • Physician Assistant
  • Golden, CO
National Provider Identifier
1821488214
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004195 Issued in CO
Practice address
5920 McIntyre St
Meadows Family Medical Center, Inc.
Golden, CO 80403-7445
Phone
(303) 949-1250
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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 PA.0004195 CO Primary

Addresses

Primary practice location

5920 McIntyre St
Meadows Family Medical Center, Inc.
Golden, CO 80403-7445

Mailing address

5920 McIntyre St
Meadows Family Medical Center, Inc.
Golden, CO 80403-7445
Phone (303) 949-1250

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
I20150224000824 CO Practitioner - Physician Assistant 9032435771 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lykos Medical LLCGroup PAC ID 0941558035, 19 clinicians
Meadows Family Medical Center IncGroup PAC ID 0446151617, 64 clinicians

Practice addresses (Care Compare)

595 Chapel Hills Dr
Suite 303
Colorado Springs, CO 80920-1057
Phone (719) 434-8810

999 17TH St
Suite 500
Denver, CO 80202-2728
Phone (720) 355-0539

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0004195COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Apr 23, 2018 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Apr 23, 2018 Accepting new patients
MWS Wound Solutions LLC PastSince Mar 12, 2024 Accepting new patients
Flatirons Family Practice Inc PastSince Jan 9, 2011 Accepting new patients

Locations

656 Dillon Way
Aurora, CO 80011
Phone (303) 344-0636

Interoperability endpoints

  • Direct secure messaging: jill.shepherd.1@26269.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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1821488214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "address_2": "MEADOWS FAMILY MEDICAL CENTER, INC.",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-949-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "address_2": "MEADOWS FAMILY MEDICAL CENTER, INC.",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-949-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.