JILL SMOLDT FONS (PA-C) – Physician Assistant, NPI 1588630107
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for JILL SMOLDT FONS (PA-C)
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
350 INDIANA ST STE 250
GOLDEN, CO 804015074
Phone: (720) 898-9427
Fax: (303) 302-0808
Type: Location
Cole Farm Boulevard, Port Dalhousie, St. Catharines, Niagara Region, Golden Horseshoe, Ontario, L2N 4W1, Canada
STE #100
GOLDEN, CO 804013220
Phone: (303) 716-8013
Fax: (303) 763-5495
Type: Mailing
1823, Ford Street, Golden, Jefferson County, Colorado, 80401, United States
GOLDEN, CO 804012464
Phone: (303) 279-7844
Fax: (303) 279-6937
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: 2005-12-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051212000781 | I | Physician Assistant | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | CO | |
| - | CO | |
| - | CO | |
| - | NC | |
| Family Practice | MO | |
| Family Practice | NV | |
| - | CO | |
| - | CO | |
| - | CO |
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