JAXTON BREK PETERSON
NPI 1477319374
Physician Assistant in Grand Junction, CO

Q: What is Jaxton Peterson's NPI number?

The NPI number for Jaxton Peterson is 1477319374. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Q: What is Jaxton Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaxton Peterson was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 February 27, 2024PECOS Enrolled

1100 NORTH AVE, GRAND JUNCTION, CO 81501(970) 248-2263 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jaxton Brek Peterson NPPES

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

JAXTON BREK PETERSON (NPI 1477319374) is an individual physician assistant in Grand Junction, Colorado and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477319374

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJAXTON BREK PETERSON

Location Address1100 NORTH AVEGrand Junction, CO 81501-3122

Mailing Address707 Fountainhead BlvdGrand Junction, CO 81505-8606

Phone(970) 248-2263

Sole ProprietorYes

Enumeration DateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1477319374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1100 NORTH AVE, Grand Junction, CO 81501

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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 (PECOS)

Jaxton Brek Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81501 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

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

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 20

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

SOPHIA EVE WENGIER

Physician Assistant