DR. STANLEY K JACK (D.O.) – Family Medicine Physician, NPI 1962578948

DR. STANLEY K JACK (D.O.) is a healthcare provider. based in Boulder, Colorado. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 42877 (CO). The NPI Number for DR. STANLEY K JACK (D.O.) is 1962578948

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. STANLEY K JACK (D.O.)
NPI
1962578948
Phone
(303) 440-8243
Address
2995 BASELINE RD STE 200
Enumeration Date
28 November 2006
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034408243
Graduation Year
2002 (24 years ago)
PAC ID
3274558135
Group Practice PAC ID
0143311068
Professional Enrollment ID
I20051010000684
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. STANLEY K JACK (D.O.)

  • 2995 BASELINE RD STE 200

    BOULDER, CO 803032318

    Phone: (303) 440-8243

    Type: Mailing

  • 777 29TH ST STE 301

    BOULDER, CO 803032316

    Phone: (303) 440-8243

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Exact Sciences Corporation ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80303)

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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: 0143311068View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. STANLEY K JACK (D.O.) across health systems?
The NPI 1962578948 uniquely identifies DR. STANLEY K JACK (D.O.) in U.S. healthcare data.
Is DR. STANLEY K JACK (D.O.)'s NPI status active today?
Active status means DR. STANLEY K JACK (D.O.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. STANLEY K JACK (D.O.)?
NPPES ties DR. STANLEY K JACK (D.O.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. STANLEY K JACK (D.O.)?
The directory associates DR. STANLEY K JACK (D.O.) with Boulder, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains DR. STANLEY K JACK (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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