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JACOB DANIEL SHIRLEY PA
NPI 1992463970
Physician Assistant in Longmont, CO

Active since December 07, 2021PECOS EnrolledAccepts Medicare Assignment
1925 MOUNTAIN VIEW AVE FL 3, LONGMONT, CO 80501(720) 718-8240(720) 718-0953 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2024, Dec 7, 2021 (2 updates tracked since 2021).

About Jacob Daniel Shirley Pa NPPES

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

JACOB DANIEL SHIRLEY PA (NPI 1992463970) is an individual physician assistant in Longmont, Colorado, licensed in Colorado (0009178) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992463970
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB DANIEL SHIRLEYCredential: PA
Location Address1925 MOUNTAIN VIEW AVE FL 3Longmont, CO 80501-3128
Mailing Address1925 Mountain View Ave Fl 3Longmont, CO 80501-3128 · (720) 718-8240 · Fax (720) 718-0953
Phone(720) 718-8240
Fax(720) 718-0953
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 7, 2021
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1992463970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CO · 0009178✔ Licensed in WY · PA1128✔ Licensed in ID · PA-2185
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.
1925 MOUNTAIN VIEW AVE FL 3, Longmont, CO 80501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica, Moda Health Plan, Inc. and more.Insurance ›

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

Jacob Daniel Shirley Pa 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 ID9931592359
PECOS Enrollment IDI20230810001558, I20250604003141
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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 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.
28 services27 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 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 2

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

UNIVERSITY PHYSICIANS INCORPORATED
Internal Medicine (Gastroenterology)
1925 MOUNTAIN VIEW AVE FL 3
LONGMONT, CO 80501
Boulder County (303) 493-7000
DR. MARY E VIERTHALER MD
Internal Medicine (Nephrology)
1925 MOUNTAIN VIEW AVE FL 3
LONGMONT, CO 80501
Boulder County (720) 848-0000

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 Jacob Shirley's NPI number?

The NPI number for Jacob Shirley is 1992463970. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Jacob Shirley located?

Jacob Shirley practices at 1925 Mountain View Ave Fl 3, Longmont, CO 80501. The listed phone number is (720) 718-8240.

What is Jacob Shirley's specialty?

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

Is Jacob Shirley enrolled in Medicare?

Yes. Jacob Shirley 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.

What insurance does Jacob Shirley accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica, Moda Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Jacob Shirley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Shirley was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.