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

Justin Jevicks, DO

Individual provider Internal Medicine Physician · NPI 1336602820

Justin Jevicks, DO is a Hospitalist in Colorado Springs, Colorado. Graduated from Michigan State University College of Osteopathic Medicine in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
CO
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1400 E Boulder St # 2508
Colorado Springs, CO 80909-5533
Phone: (719) 365-1292
Fax: (719) 365-6997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 447726 (CO)

Record details

NPI number1336602820
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 11, 2019
Last updated in NPPESNovember 8, 2023
Certification dateJuly 16, 2023

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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