JAELYNN NICOLE DUNHAM
NPI 1194518621
Physician Assistant - Surgical in Colorado Springs, CO

Q: What is Jaelynn Dunham's NPI number?

The NPI number for Jaelynn Dunham is 1194518621. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Q: What is Jaelynn Dunham'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 Jaelynn Dunham was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment

2312 N NEVADA AVE STE 235, COLORADO SPRINGS, CO 80907(719) 776-7600 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2025, May 27, 2025 (2 updates tracked since 2025).

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About Jaelynn Nicole Dunham NPPES

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

JAELYNN NICOLE DUNHAM (NPI 1194518621) is an individual surgical provider in Colorado Springs, Colorado, licensed in Colorado (PA.0009251) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194518621

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJAELYNN NICOLE DUNHAM

Location Address2312 N NEVADA AVE STE 235Colorado Springs, CO 80907-5312

Mailing Address1120 Trek Trail Hts Apt No301Colorado Springs, CO 80921-4516 · (402) 770-3526

Phone(719) 776-7600

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 27, 2025

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1194518621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AS0400X

License✔ Licensed in CO · PA.0009251

2312 N NEVADA AVE STE 235, Colorado Springs, CO 80907

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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

Jaelynn Nicole Dunham 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 ID9335652221

PECOS Enrollment IDI20250702004123

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.

Other Providers at the Same Location NPPES 9

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

MRS. ILENE WALLMUELLER ARNP

Nurse Practitioner