Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Ferguson, PA-C

Individual provider Physician Assistant · NPI 1396017265

Jackson Ferguson, PA-C is a Physician Assistant in Windsor, Colorado. Qualified in 2013, 13 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Oregon.

Years since qualifying
13
Licensed in
CO, OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1455 Main St Ste 100
Windsor, CO 80550-5559
Phone: (970) 686-3950
Fax: (970) 686-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004074 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA165403 (OR)

Record details

NPI number1396017265
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 7, 2012
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021
Mailing address1455 Main St Ste 100, Windsor, CO 80550-5559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Windsor