1. Home
  2. Directory
  3. Colorado
  4. Lakewood
  5. Physician Assistant
  6. NPI Profile

MRS. TINA MARIE JACOBS PA
NPI 1649703307
Physician Assistant in Lakewood, CO

Active since April 09, 2017
3609 S WADSWORTH BLVD STE 135, LAKEWOOD, CO 80235(720) 542-8445(877) 413-4043 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 3, 2026, Dec 17, 2018 (2 updates tracked since 2018).

About Mrs. Tina Marie Jacobs Pa NPPES

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

MRS. TINA MARIE JACOBS PA (NPI 1649703307) is an individual physician assistant in Lakewood, Colorado, licensed in Colorado (PA.0005501) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1649703307
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TINA MARIE JACOBSCredential: PA
Location Address3609 S WADSWORTH BLVD STE 135Lakewood, CO 80235-2126
Mailing Address10269 W Wesley PlLakewood, CO 80227-3074 · (414) 807-7941
Phone(720) 542-8445
Fax(877) 413-4043
Sole ProprietorNo
Enumeration DateApril 9, 2017
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1649703307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · PA.0005501
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.
3609 S WADSWORTH BLVD STE 135, Lakewood, CO 80235
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Tina Marie Jeselun Pa

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 Tina Jacobs's NPI number?

The NPI number for Tina Jacobs is 1649703307. It was assigned to this individual provider in the NPPES registry on April 9, 2017. The provider is also known as Ms. Tina Marie Jeselun PA.

Where is Tina Jacobs located?

Tina Jacobs practices at 3609 S Wadsworth Blvd Ste 135, Lakewood, CO 80235. The listed phone number is (720) 542-8445.

What is Tina Jacobs's specialty?

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

When was this NPI record last updated?

The NPPES record for Tina Jacobs was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.