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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETHAN MARTIN JETTER MD, MPH
NPI 1699619296
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 15, 2026PECOS Enrolled
12605 E 16TH AVE STE 4003, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Apr 15, 2026 (2 updates tracked since 2026).

About Ethan Martin Jetter Md, Mph NPPES

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

ETHAN MARTIN JETTER MD, MPH (NPI 1699619296) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0011239) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699619296
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN MARTIN JETTERCredential: MD, MPH
Location Address12605 E 16TH AVE STE 4003Aurora, CO 80045-2545
Mailing Address12605 E 16th Ave Ste 4003Aurora, CO 80045-2545 · (720) 848-0000
Phone(720) 848-0000
Sole ProprietorNo
Enumeration DateApril 15, 2026
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1699619296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CO · TL.0011239
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12605 E 16TH AVE STE 4003, Aurora, CO 80045
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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)

Ethan Martin Jetter Md, Mph 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.

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 Ethan Jetter's NPI number?

The NPI number for Ethan Jetter is 1699619296. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Ethan Jetter located?

Ethan Jetter practices at 12605 E 16th Ave Ste 4003, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Ethan Jetter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Jetter enrolled in Medicare?

Yes. Ethan Jetter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Jetter was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.