JACK ALEXANDER SCHULTZ PA
NPI 1306692579
Physician Assistant - Medical in Aurora, CO

Active since April 27, 2024PECOS EnrolledAccepts Medicare Assignment
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 7, 2025, Apr 27, 2024 (2 updates tracked since 2024).

About Jack Alexander Schultz Pa NPPES

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

JACK ALEXANDER SCHULTZ PA (NPI 1306692579) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0009238) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1306692579
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACK ALEXANDER SCHULTZCredential: PA
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 27, 2024
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1306692579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0009238
12605 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 113001 E 17th Pl Rm E7019Aurora, CO 80045-2570 · Phone (303) 724-7963

Accepted 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

Jack Alexander Schultz 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 ID7315446408
PECOS Enrollment IDI20250815002874
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 20

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

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045

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 Jack Schultz's NPI number?

The NPI number for Jack Schultz is 1306692579. It was assigned to this individual provider in the NPPES registry on April 27, 2024.

Where is Jack Schultz located?

Jack Schultz practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Jack Schultz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jack Schultz enrolled in Medicare?

Yes. Jack Schultz 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.

What insurance does Jack Schultz accept?

Health plans from Medica list Jack Schultz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Schultz was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.