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

Individual provider Emergency Medicine Physician · NPI 1194372763

Jessica Lynne Dodder, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
Specialties on file
3
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

1725 E Boulder St Ste 101
Colorado Springs, CO 80909-5740
Phone: (719) 365-6300
Fax: (719) 365-6094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 — (719) 776-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0005868 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA.0005868 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0005868 (CO)

Record details

NPI number1194372763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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