Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB WESLEY SHULMISTER DPM
NPI 1053060509
Podiatrist - Foot & Ankle Surgery in Englewood, CO

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
4055 S BROADWAY, ENGLEWOOD, CO 80113(303) 722-6864(303) 722-5113 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2026, Jul 3, 2025 (2 updates tracked since 2025).

About Dr. Jacob Wesley Shulmister Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB WESLEY SHULMISTER DPM (NPI 1053060509) is an individual foot & ankle surgery provider in Englewood, Colorado, licensed in Colorado (0000967) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1053060509
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JACOB WESLEY SHULMISTERCredential: DPM
Location Address4055 S BROADWAYEnglewood, CO 80113-4695
Mailing Address4055 S BroadwayEnglewood, CO 80113-4695 · (303) 722-6864 · Fax (303) 722-5113
Fax(303) 722-5113
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1053060509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CO · 0000967
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 0000967 (CO)
4055 S BROADWAY, Englewood, CO 80113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Wesley Shulmister Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880109172
PECOS Enrollment IDI20250715004012
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Shulmister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foot & Ankle Surgery
4055 S BROADWAY
Englewood, CO 80113
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
4055 S BROADWAY
ENGLEWOOD, CO 80113
Podiatrist (Foot & Ankle Surgery)
4055 S BROADWAY
ENGLEWOOD, CO 80113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Shulmister's NPI number?

The NPI number for Jacob Shulmister is 1053060509. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Jacob Shulmister located?

Jacob Shulmister practices at 4055 S Broadway, Englewood, CO 80113. The listed phone number is (303) 722-6864.

What is Jacob Shulmister's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jacob Shulmister enrolled in Medicare?

Yes. Jacob Shulmister is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacob Shulmister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Shulmister reassigns Medicare benefits to Foot Specialist Associates P.C. (Englewood, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Shulmister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Shulmister was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.