MR. JACOB TYLER JARREAU (PA) – Physician Assistant, NPI 1265015382

MR. JACOB TYLER JARREAU (PA) is a healthcare provider. based in Englewood, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MR. JACOB TYLER JARREAU (PA) is 1265015382

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACOB TYLER JARREAU (PA)
NPI
1265015382
Phone
(615) 916-1885
Address
601 E HAMPDEN AVE STE 310
Enumeration Date
5 May 2021
Last Update Date
8 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037901800
Graduation Year
2021 (5 years ago)
PAC ID
4587067772
Group Practice PAC ID
7214966720
Professional Enrollment ID
I20241025001508
Address ID
CO801245534LO10099PKWY304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for MR. JACOB TYLER JARREAU (PA)

  • 601 E HAMPDEN AVE STE 310

    ENGLEWOOD, CO 801132769

    Phone: (615) 916-1885

    Type: Mailing

  • 2 W GE PATTERSON AVE APT 212

    MEMPHIS, TN 381036430

    Phone: (615) 916-1885

    Type: Mailing

  • 877 JEFFERSON AVE

    MEMPHIS, TN 381032807

    Phone: (901) 545-7100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,384.

Total Amount is formed as General ($1,384) + Research ($0) + Ownership ($0) = $1,384.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Vericel Corporation ($208).

Total Amount

$1,384

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

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: 2024-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210726002414IPhysician AssistantTNTBD
I20241025001508IPhysician 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2822$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2213$0
View full utilization report →

Insurance plans in this area (ZIP 80113)

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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: 7214966720View full group profile
NameSpecialtyState
Physician AssistantCO
Orthopedic SurgeryCO
Physician AssistantCO
Physician AssistantCO
N E U R O S U R G E R YFL
N E U R O S U R G E R YCO
Orthopedic SurgeryAL
Physician AssistantCO
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JACOB TYLER JARREAU (PA)?
NPI 1265015382 is assigned to MR. JACOB TYLER JARREAU (PA) under the national enumeration system.
Is MR. JACOB TYLER JARREAU (PA) currently active in the NPI registry?
CMS-published data lists MR. JACOB TYLER JARREAU (PA) as an active registrant.
Can you summarize MR. JACOB TYLER JARREAU (PA)'s specialty in plain language?
Clinically, the directory lists MR. JACOB TYLER JARREAU (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. JACOB TYLER JARREAU (PA)'s primary listing?
We display Englewood, Colorado because that is what the record indicates for MR. JACOB TYLER JARREAU (PA).
How can I contact MR. JACOB TYLER JARREAU (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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