Active NPI
Jeremy Sloan Hubbard, PA-C
- Physician Assistant
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0003962
- Practice address
- 1633 Medical Center PT
Colorado Springs, CO 80907-5700 - Phone
- (719) 228-0400
- Fax
- (719) 667-4155
- NPI assigned
- Aug 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0003962 | CO | Primary |
Addresses
Primary practice location
1633 Medical Center PT
Colorado Springs, CO 80907-5700
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91983088 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Utah School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Medical Ctr PT
Suite 290
Colorado Springs, CO 80907-8722
Phone (719) 635-5148
1633 Medical Ctr PT
Colorado Springs, CO 80907-5700
Phone (719) 598-9446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0003962 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Bobcat Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
| Optumcare Colorado Medical Group LLC | Past | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Past | Accepting new patients |
Locations
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
1633 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 636-2999
2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276
Interoperability endpoints
- jhubbard120944@westdirect.optum.com
Organizations & group practices 7
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.
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1902437874
-
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1528190295
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1124366489
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1962835793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 MEDICAL CENTER PT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809075700",
"telephone_number": "719-228-0400",
"fax_number": "719-667-4155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "JEREMY",
"middle_name": "SLOAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-15",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0003962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91983088",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.