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

Jamie Sullivan, PA

Individual provider Physician Assistant · NPI 1104299759

Jamie Sullivan, PA is a Physician Assistant in Englewood, Colorado. Qualified in 2015, 11 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and North Carolina.

Years since qualifying
11
Licensed in
CO, NC
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

175 Inverness Dr W
Englewood, CO 80112-5065
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12605 E 16th Ave, Aurora, CO 80045-2545 — (720) 848-0000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5800 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06053 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5800 (CO)

Record details

NPI number1104299759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 4, 2015
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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