JENNIFER BLACKWELL (MPAS, PA-C) – Physician Assistant, NPI 1558733493
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,190 PHYSICIAN ASSISTANT in CO
Provider Addresses for JENNIFER BLACKWELL (MPAS, PA-C)
1615 CALIFORNIA ST STE 601
DENVER, CO 802023721
Phone: (720) 778-0005
Fax: (833) 728-0361
Type: Location
30540 RAND RD
CONIFER, CO 804337403
Phone: (520) 665-9195
Type: Mailing
36000 DARNALL LOOP
FORT HOOD, TX 765445095
Phone: (254) 618-8039
Type: Location
4200 LAKE OTIS PKWY STE 303
ANCHORAGE, AK 995085226
Phone: (907) 600-5212
Fax: (907) 600-1026
Type: Mailing
1221 HUFFMAN PARK DR UNIT 111074
ANCHORAGE, AK 995110559
Phone: (907) 891-8327
Fax: (907) 931-6167
Type: Mailing
821 N ST STE 102
ANCHORAGE, AK 995013285
Phone: (907) 891-8327
Fax: (907) 931-6167
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: 2021-09-13
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201007002934 | I | Physician Assistant | CO | TBD |
| I20210913002560 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 169 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 29 | $0 |
Insurance plans in this area (ZIP 80202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MA | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | MA |
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