Jacey Lynn Grant, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA0007976 Issued in CO

Practice address

777 Bannock St
Denver, CO 80204-4597

Phone

(303) 436-6000

NPI assigned

Nov 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Denver Health and Hospital AuthorityGroup PAC ID 4688583578, 830 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Denver Health & Hospital Authority Hospital, Denver, CO, CCN 060011

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgrant286549@direct.dhha.org

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.

• Denver Health and Hospital Authority

  • General Practice Physician
  • Denver, CO
  • NPI 1477569838
  Medicare reassignment Care Compare group NPD
• Susquehanna Physician Services

  • Surgery Physician
  • Williamsport, PA
  • NPI 1881622868
  Medicare reassignment NPD
• St Clair Medical Services, Inc.

  dba St. Clair Medical Group Psychiatry

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1467485565
  Medicare reassignment
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment
• Upmc Altoona Regional Health Services, Inc

  dba Blair Medical Associates

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217
  Medicare reassignment
• Denver Health and Hospital Authority

  • Psychiatric Hospital Unit
  • Denver, CO
  • NPI 1689624942
  NPD
• St Clair Medical Services Inc

  dba St. Clair Medical Group Urology

  • Urology Physician
  • Pittsburgh, PA
  • NPI 1437455771
  NPD
• St Clair Medical Services Inc

  dba St. Clair Medical Group Otolaryngology

  • Otolaryngology Physician
  • Bethel Park, PA
  • NPI 1659224715
  NPD
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD
• University of Pittsburgh Physicians

  dba UPP Department of Anesthesiology

  • Anesthesiology Physician
  • Pittsburgh, PA
  • NPI 1033125455
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• Denver Health and Hospital Authority

  dba Wellington E. Webb Center for Primary Care

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1922049014
  NPD (past)

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

• Denver Health and Hospital Authority

  dba Denver Health East Grand Community Clinic & Emergency Center

  • Emergency Care Clinic/Center
  • Winter Park, CO
  • NPI 1467762435

  Hospital

  Care Compare affiliation
• Denver Health and Hospital Authority

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1689624686
  Care Compare affiliation
• Denver Health and Hospital Authority

  • Psychiatric Hospital Unit
  • Denver, CO
  • NPI 1689624942
  Care Compare affiliation

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1871847384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-436-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132536",
            "country_code": "US",
            "telephone_number": "412-647-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JACEY",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA055863",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA0007976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granite Healthcare, Inc. (Namaste Home Health and Hospice)
• Allison Grant
• Elizabeth Charlotte Grant
• Genevieve M Grant
• Georgia Louise Grant, N.P.
• Jacqueline Voigt Grant, LCSW
• Jaqueline Joan Grant, LAT, ATC
• Jon-Michael Grant
• Katharine Roshani Grant, OTR
• Kirstinlee Grant, B.S.

• Surgical Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.