MICHELENE JACKSON (PA) – Physician Assistant, NPI 1679565394

MICHELENE JACKSON (PA) is a healthcare provider. based in Englewood, Colorado. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA.0000444 (CO). The NPI Number for MICHELENE JACKSON (PA) is 1679565394

Main info

Female
Name
MICHELENE JACKSON (PA)
NPI
1679565394
Phone
(303) 360-6276
Address
3701 S BROADWAY
Enumeration Date
18 August 2005
Last Update Date
12 April 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHELENE JACKSON (PA)

  • 3701, South Broadway, Englewood, Arapahoe County, Colorado, 80113, United States

    ENGLEWOOD, CO 801133611

    Phone: (303) 360-6276

    Type: Mailing

  • Metro Community Providers North Aurora Family Health Services, 3292, Frontage Road, Aurora, Adams County, Colorado, 80010, United States

    AURORA, CO 800101517

    Phone: (303) 360-6276

    Fax: (303) 467-5355

    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.

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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.

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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 80113)

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Reviews

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Frequently asked questions

How do payers reference MICHELENE JACKSON (PA)?
For MICHELENE JACKSON (PA), use NPI 1679565394 as the unique 10-digit identifier.
Is there an active status for MICHELENE JACKSON (PA)?
For scheduling context, MICHELENE JACKSON (PA) is shown as active in the registry.
How would a patient describe MICHELENE JACKSON (PA)'s focus?
For MICHELENE JACKSON (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHELENE JACKSON (PA)?
Travel planning: use Englewood, Colorado as the reference point for MICHELENE JACKSON (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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