MS. JACQUELINE ANN DUBA (PA-C) – Physician Assistant, NPI 1396743050
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for MS. JACQUELINE ANN DUBA (PA-C)
PO BOX 1549
HAINES, AK 998271549
Phone: (907) 766-6300
Fax: (907) 766-2675
Type: Mailing
131 1ST AVE
HAINES, AK 99827
Phone: (907) 766-6300
Fax: (907) 766-2675
Type: Location
West 6th Street, Leadville, Lake County, Colorado, 80461, United States
LEADVILLE, CO 80461
Phone: (719) 486-1264
Fax: (719) 486-1286
Type: Mailing
PO BOX 525
LEADVILLE, CO 804610525
Phone: (719) 838-0655
Type: Mailing
360 PEAK ONE DR STE 100
FRISCO, CO 804435948
Phone: (970) 668-4040
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180521000314 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 95 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 63 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 40 | 36 | $0 |
Insurance plans in this area (ZIP 99827)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Family Practice | CO | |
| - | CO | |
| Family Practice | CO | |
| Family Practice | CO | |
| Nurse Practitioner | CO | |
| Mental Health Counselor | CO | |
| Family Practice | CO |
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