JACOB ELLIS BROWN
NPI 1184515371
Anesthesiologist Assistant in Lone Tree, CO

Q: What is Jacob Brown's NPI number?

The NPI number for Jacob Brown is 1184515371. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Q: What is Jacob Brown's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Brown was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 14, 2025Accepts Medicare Assignment

10101 RIDGEGATE PKWY, LONE TREE, CO 80124(303) 783-4912 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacob Ellis Brown NPPES

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

JACOB ELLIS BROWN (NPI 1184515371) is an individual anesthesiologist assistant in Lone Tree, Colorado, licensed in Colorado (ANT.0000310) and active in the NPI registry since July 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1184515371

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameJACOB ELLIS BROWN

Location Address10101 RIDGEGATE PKWYLone Tree, CO 80124-5522

Mailing Address719 Malone StHouston, TX 77007-5123 · (832) 262-6408

Phone(303) 783-4912

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 14, 2025

Last NPPES UpdateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1184515371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in CO · ANT.0000310

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

10101 RIDGEGATE PKWY, Lone Tree, CO 80124

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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

Jacob Ellis Brown 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 ID7214432681

PECOS Enrollment IDI20250925003963

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.

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