JAMIE SULLIVAN PA
NPI 1104299759
Physician Assistant - Surgical in Englewood, CO

Q: What is Jamie Sullivan's NPI number?

The NPI number for Jamie Sullivan is 1104299759. It was assigned to this individual provider in the NPPES registry on November 4, 2015. The provider is also known as Jamie Weiss PA.

Q: What is Jamie Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Sullivan was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 04, 2015PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

175 INVERNESS DR W, ENGLEWOOD, CO 80112(720) 848-0000 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2024, Oct 8, 2019, Jan 12, 2017 (3 updates tracked since 2017).

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About Jamie Sullivan Pa NPPES

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

JAMIE SULLIVAN PA (NPI 1104299759) is an individual surgical provider in Englewood, Colorado, licensed in Colorado (5800) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104299759

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJAMIE SULLIVANCredential: PA

Location Address175 INVERNESS DR WEnglewood, CO 80112-5065

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 848-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 4, 2015

Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1104299759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CO · 5800

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-06053 (NC)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5800 (CO)

175 INVERNESS DR W, Englewood, CO 80112

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Other Names 1

Former Name (1)Jamie Weiss Pa

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamie Sullivan Pa 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 ID9537461033

PECOS Enrollment IDI20191105000916

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

133 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services23 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

17 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

DR. RUDY JAMES HERNANDEZ DPT, ATC

Physical Therapist (Orthopedic)