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JANE D BROCKHAUSEN PA-C
NPI 1770538159
Physician Assistant - Medical in Colorado Springs, CO

Active since May 23, 2006PECOS Enrolled
5799 STETSON HILLS BLVD STE 100, COLORADO SPRINGS, CO 80917(719) 471-2273(719) 380-0228 Get Directions Write a Review

NPPES record last updated: July 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2017, Mar 23, 2017 (2 updates tracked since 2017).

About Jane D Brockhausen Pa-c NPPES

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

JANE D BROCKHAUSEN PA-C (NPI 1770538159) is an individual medical provider in Colorado Springs, Colorado, licensed in Colorado (0001833) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770538159
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJANE D BROCKHAUSENCredential: PA-C
Location Address5799 STETSON HILLS BLVD STE 100Colorado Springs, CO 80917-4223
Mailing Address5799 Stetson Hills Blvd Ste 100Colorado Springs, CO 80917-4223 · (719) 471-2273 · Fax (719) 380-0228
Phone(719) 471-2273
Fax(719) 380-0228
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 28, 20172 updates tracked since enumeration
✔ NPI 1770538159 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 · 0001833
5799 STETSON HILLS BLVD STE 100, Colorado Springs, CO 80917
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQO8807CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane D Brockhausen Pa-c 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.

Other Providers at the Same Location NPPES 10

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

CHRISTINA MERRYMAN FNP
Nurse Practitioner
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917
El Paso County (719) 471-2273
GERARDO NERI FNP
Nurse Practitioner (Family)
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917
El Paso County (719) 471-2273
SIMONE PATRICE CODERELLIS P. A.
Physician Assistant (Medical)
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917
El Paso County (719) 471-2273
AMYE LEIGH HODGE FNP-C
Nurse Practitioner (Family)
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917
El Paso County (719) 471-2273
MRS. CARSYN KATY JOHNSON FNP.C
Nurse Practitioner (Family)
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917
El Paso County (719) 471-2273
LASHEA HERNANDEZ DNP
Nurse Practitioner (Family)
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917
El Paso County (719) 510-0957
MRS. TARA RAE GRAF DNP, FNP-BC
Nurse Practitioner (Family)
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917
El Paso County (719) 471-2273
JESSALYN ROMBOCOS PA-C
Physician Assistant (Medical)
5799 STETSON HILLS BLVD STE 100
COLORADO SPRINGS, CO 80917
El Paso County (719) 471-2273

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 Jane Brockhausen's NPI number?

The NPI number for Jane Brockhausen is 1770538159. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Jane Brockhausen located?

Jane Brockhausen practices at 5799 Stetson Hills Blvd Ste 100, Colorado Springs, CO 80917. The listed phone number is (719) 471-2273.

What is Jane Brockhausen's specialty?

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

Is Jane Brockhausen enrolled in Medicare?

Yes. Jane Brockhausen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jane Brockhausen was last updated on July 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.