NPIMap

Individual provider Active NPI

Alexander Nicholas Jenik, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1891338646
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0005988 Issued in CO
Practice address
2322 S Academy Blvd
Colorado Springs, CO 80916-2406
Phone
(719) 390-1727
NPI assigned
Oct 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0005988 CO Primary

Addresses

Primary practice location

2322 S Academy Blvd
Colorado Springs, CO 80916-2406

Mailing address

1510 Bison Ridge Dr
Colorado Springs, CO 80919-1541
Phone (719) 271-7193

Other identifiers 2

IdentifierTypeStateIssuer
1163223OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
PA.0005988OtherCOSTATE MEDICAL LICENSE NUMBER

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
I20200113000460 CO Practitioner - Physician Assistant 8224463690 Reassigns benefits to 2 organizations

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
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians
Matthews-Vu Medical Group, P.C.Group PAC ID 3072790864, 39 clinicians
Select Physical Therapy of Colorado Springs LPGroup PAC ID 3971498197, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (720) 728-5170

104 Pro Rodeo Dr
Suite 100
Colorado Springs, CO 80919-2334
Phone (719) 632-4455

4190 E Woodmen Rd
Colorado Springs, CO 80920-8075
Phone (719) 632-4455

5825 Delmonico Dr
Suite 100
Colorado Springs, CO 80919-2243
Phone (719) 257-4240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005988COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews-Vu Medical Group, P.C. CurrentSince Oct 12, 2020 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Oct 12, 2020 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients
Alpine Medical Group Colorado PLLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 722-2542

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

Interoperability endpoints

  • Direct secure messaging: alexander.jenik@mvmg.eclinicaldirectplus.com

Organizations & group practices 4

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1891338646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BISON RIDGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191541",
            "telephone_number": "719-271-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 S ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162406",
            "telephone_number": "719-390-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENIK",
        "first_name": "ALEXANDER",
        "middle_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1163223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "PA.0005988",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.