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

Jeffrey G Stoll, PA

Individual provider General Practice Dentistry · NPI 1265405708

Jeffrey G Stoll, PA is a Physician Assistant in Boulder, Colorado. Qualified in 2016, 10 years ago. Practices with Clinica Campesina Family Health Services, a 95-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
10
Licensed in
CO
In the registry since
2006
Specialties on file
2
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

2525 13th St
Boulder, CO 80304-4104
Phone: (303) 449-6050
Fax: (720) 565-4128
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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.0004872 (CO)
General Practice Dentistry Taxonomy 1223G0001X · Licence DEN.00008865 (CO)

Record details

NPI number1265405708
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address1735 S Public Rd Ste 203, Lafayette, CO 80026-7093

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Clinica Campesina Family Health Services — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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