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

Jason Boren, PA

Individual provider Physician Assistant · NPI 1104394196

Jason Boren, PA is a Physician Assistant in Greeley, Colorado. Qualified in 2018, 8 years ago. Practices with Banner Urgent Care Colorado, a 23-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2018
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

1801 16th St
Greeley, CO 80631-5154
Phone: (970) 810-6244
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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.0005609 (CO)

Record details

NPI number1104394196
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 7, 2018
Last updated in NPPESNovember 7, 2018
Mailing address3809 Riverside Pkwy, Evans, CO 80620-2803

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Banner Urgent Care Colorado — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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