Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Heinze Summers, PA-C

Individual provider Physician Assistant · NPI 1073876777

Jaclyn Heinze Summers, PA-C is a Physician Assistant in Greeley, Colorado. Qualified in 2012, 14 years ago. Practices with Banner Hospital Based Physicians Colorado LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
14
Licensed in
CO
In the registry since
2012
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

1801 16th St
Greeley, CO 80631
Phone: (970) 810-3894
Fax: (970) 810-3897
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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 3456 (CO)

Record details

NPI number1073876777
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2012
Last updated in NPPESFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Banner Hospital Based Physicians Colorado Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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