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

Individual provider Physician Assistant · NPI 1093513582

Jason Tyler Hendricks, PA-C is a Physician Assistant in Colorado Springs, Colorado. Graduated from University of Nebraska College of Medicine in 2026. Works from 2 locations. Licensed in Colorado.

Trained at
University of Nebraska College of Medicine
Licensed in
CO
In the registry since
2025
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

175 S Union Blvd Ste 125
Colorado Springs, CO 80910-3147
Phone: (719) 365-1950
Fax: (719) 365-1951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1650 Cochrane Cir Unit Meddac, Ft Carson, CO 80913-4604 — (719) 526-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009729 (CO)

Record details

NPI number1093513582
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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