JEROMY GLENN WILSON (P.A.-C) – Physician Assistant, NPI 1033394150

JEROMY GLENN WILSON (P.A.-C) is a healthcare provider. based in Westminster, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA-2560 (CO). The NPI Number for JEROMY GLENN WILSON (P.A.-C) is 1033394150

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
JEROMY GLENN WILSON (P.A.-C)
NPI
1033394150
Phone
(303) 427-0796
Address
6080 W 92ND AVE
Enumeration Date
8 January 2008
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034296600
Graduation Year
2007 (19 years ago)
PAC ID
1052458494
Group Practice PAC ID
3779471677
Professional Enrollment ID
I20091016000506
Address ID
CO800313304WE3520XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

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Provider Addresses for JEROMY GLENN WILSON (P.A.-C)

  • 6080, West 92nd Avenue, Westminster, Jefferson County, Colorado, 80031, United States

    SUITE 1000

    WESTMINSTER, CO 800312928

    Phone: (303) 427-0796

    Fax: (303) 429-9399

    Type: Location

  • 3520 W 92ND AVE

    WESTMINSTER, CO 800313303

    Phone: (303) 429-6600

    Fax: (303) 429-6601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $2,272.

Total Amount is formed as General ($2,272) + Research ($0) + Ownership ($0) = $2,272.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($544).

Total Amount

$2,272

General + Research + Ownership

Payments

121

Total payment records

General Amount

$2,272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-10-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091016000506IPhysician AssistantCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9056$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1211$0
View full utilization report →

Insurance plans in this area (ZIP 80031)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471677View full group profile
NameSpecialtyState
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO
Physician AssistantCO
Family PracticeCO
Internal MedicineCO
Family PracticeCO
Clinical Social WorkerCO
Physician AssistantCO

Reviews

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Frequently asked questions

Is JEROMY GLENN WILSON (P.A.-C) listed with a National Provider Identifier?
Yes — JEROMY GLENN WILSON (P.A.-C) has NPI 1033394150 on file in the registry.
Active or inactive — what applies to JEROMY GLENN WILSON (P.A.-C)?
You should see JEROMY GLENN WILSON (P.A.-C) as active in CMS-hosted NPPES data.
How would a patient describe JEROMY GLENN WILSON (P.A.-C)'s focus?
For JEROMY GLENN WILSON (P.A.-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JEROMY GLENN WILSON (P.A.-C) associated with Westminster?
Public fields place JEROMY GLENN WILSON (P.A.-C) around Westminster, Colorado. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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