JACLYN ELISE TYBOR PA-C
NPI 1467838664
Physician Assistant - Medical in Lakewood, CO

Active since August 11, 2015PECOS EnrolledAccepts Medicare Assignment
165 S UNION BLVD STE 800, LAKEWOOD, CO 80228(303) 988-2680 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2026, Nov 18, 2024 (2 updates tracked since 2024).

About Jaclyn Elise Tybor Pa-c NPPES

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

JACLYN ELISE TYBOR PA-C (NPI 1467838664) is an individual medical provider in Lakewood, Colorado, licensed in Colorado (PA.0004315) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467838664
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACLYN ELISE TYBORCredential: PA-C
Location Address165 S UNION BLVD STE 800Lakewood, CO 80228-2213
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 11, 2015
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1467838664 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.0004315
165 S UNION BLVD STE 800, Lakewood, CO 80228

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

Jaclyn Elise Tybor Pa-c 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 ID5799094322
PECOS Enrollment IDI20160414001000
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services30 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.
21 services20 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
16 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Other Providers at the Same Location NPPES 8

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

Family Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Family Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Internal Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Clinical Medical Laboratory
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Internal Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Internal Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Physician Assistant
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Physician Assistant
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228

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 Jaclyn Tybor's NPI number?

The NPI number for Jaclyn Tybor is 1467838664. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Jaclyn Tybor located?

Jaclyn Tybor practices at 165 S Union Blvd Ste 800, Lakewood, CO 80228. The listed phone number is (303) 988-2680.

What is Jaclyn Tybor's specialty?

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

Is Jaclyn Tybor enrolled in Medicare?

Yes. Jaclyn Tybor 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.

When was this NPI record last updated?

The NPPES record for Jaclyn Tybor was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.