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MR. JACOB SPENCER GAJEWSKI PMHNP- BC
NPI 1164220760
Nurse Practitioner - Psychiatric/Mental Health in Wheat Ridge, CO

Active since March 07, 2025PECOS EnrolledAccepts Medicare Assignment
4350 WADSWORTH BLVD STE 250, WHEAT RIDGE, CO 80033(970) 310-3406 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2026, Mar 7, 2025 (2 updates tracked since 2025).

About Mr. Jacob Spencer Gajewski Pmhnp- Bc NPPES

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

MR. JACOB SPENCER GAJEWSKI PMHNP- BC (NPI 1164220760) is an individual psychiatric/mental health provider in Wheat Ridge, Colorado, licensed in Colorado (APN.1000634-NP) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164220760
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JACOB SPENCER GAJEWSKICredential: PMHNP- BC
Location Address4350 WADSWORTH BLVD STE 250Wheat Ridge, CO 80033-4653
Mailing Address4350 Wadsworth Blvd Ste 250Wheat Ridge, CO 80033-4653 · (970) 310-3406
Phone(970) 310-3406
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 7, 2025
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1164220760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CO · APN.1000634-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.1670708 (CO)
4350 WADSWORTH BLVD STE 250, Wheat Ridge, CO 80033
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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

Mr. Jacob Spencer Gajewski Pmhnp- Bc 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 ID2769967314
PECOS Enrollment IDI20260331004681
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 Gajewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Centered Counseling, PC
Same address
Mental Health
4350 WADSWORTH BLVD STE 250
Wheat Ridge, CO 80033
  • Reassigned Medicare billing, Colorado enrollment
  • 390 clinicians in this Medicare group
NPI 1679114979 (970) 310-3407

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

RAVEN ALEXIS ROTH MA, LPC, LAC
Counselor (Professional)
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO 80033
Jefferson County (970) 310-3406
SAVANNAH RACKLEY MS, LPC
Counselor (Professional)
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO 80033
Jefferson County (970) 310-3406
ANGELICA JORDAN-HERNANDEZ QBHP, LCSW
Social Worker (Clinical)
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO 80033
Jefferson County (970) 310-3406
LAUNA CAROLYN LAPORTA LPC
Counselor (Professional)
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO 80033
Jefferson County (970) 310-3406
LAUREN ELIZABETH SULLIVAN LCSW
Social Worker (Clinical)
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO 80033
Jefferson County (970) 310-3406
BRITTANY ROPER LCSW
Social Worker (Clinical)
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO 80033
Jefferson County (720) 432-1791
HAYLEY PRICE MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO 80033
Jefferson County (970) 310-3406
NICHOLAS P SAHAGIAN MD
Psychiatry & Neurology (Psychiatry)
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO 80033
Jefferson County (970) 310-3406

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 Gajewski's NPI number?

The NPI number for Jacob Gajewski is 1164220760. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Jacob Gajewski located?

Jacob Gajewski practices at 4350 Wadsworth Blvd Ste 250, Wheat Ridge, CO 80033. The listed phone number is (970) 310-3406.

What is Jacob Gajewski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Gajewski enrolled in Medicare?

Yes. Jacob Gajewski 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 Gajewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Gajewski reassigns Medicare benefits to Heart Centered Counseling, PC (Wheat Ridge, 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 Gajewski'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 Gajewski was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.