JASON BOREN (PA) – Physician Assistant, NPI 1104394196

JASON BOREN (PA) is a healthcare provider. based in Greeley, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.0005609 (CO). The NPI Number for JASON BOREN (PA) is 1104394196

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JASON BOREN (PA)
NPI
1104394196
Phone
(970) 810-6244
Address
1801 16TH ST
Enumeration Date
7 November 2018
Last Update Date
7 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708204264
Graduation Year
2018 (8 years ago)
PAC ID
3678812666
Group Practice PAC ID
7214295989
Professional Enrollment ID
I20190311000174
Address ID
CO805375134LO2555XSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

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Provider Addresses for JASON BOREN (PA)

  • North Colorado Medical Center, 1801, 16th Street, Greeley, Weld County, Colorado, 80631, United States

    GREELEY, CO 806315154

    Phone: (970) 810-6244

    Type: Location

  • 3809, Riverside Parkway, Evans, Weld County, Colorado, 80620, United States

    EVANS, CO 806202803

    Phone: (970) 324-0608

    Type: Mailing

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: 2019-03-11

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
I20190311000174IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes7572$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
81003Automated urinalysis test1818$0
71046X-ray of chest, 2 views1111$0
View full utilization report →

Insurance plans in this area (ZIP 80631)

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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: 7214295989View full group profile
NameSpecialtyState
-IL
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantNC
Physician AssistantCO
Physician AssistantVA
Family PracticeCO
-SC
Nurse PractitionerMN
Nurse PractitionerCO

Reviews

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Frequently asked questions

Is JASON BOREN (PA) listed with a National Provider Identifier?
Yes — JASON BOREN (PA) has NPI 1104394196 on file in the registry.
Is there an active status for JASON BOREN (PA)?
For scheduling context, JASON BOREN (PA) is shown as active in the registry.
What expertise is attributed to JASON BOREN (PA)?
JASON BOREN (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Colorado is JASON BOREN (PA) registered?
Use Greeley, Colorado as the headline location for JASON BOREN (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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