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

Mr. Jason William Whaley, PA-C

Individual provider Physician Assistant · NPI 1619091451

Mr. Jason William Whaley, PA-C is a Physician Assistant in Fort Collins, Colorado. Qualified in 1997, 29 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Alaska, California, Colorado and Wyoming.

Years since qualifying
29
Licensed in
AK, CA, CO, WY
In the registry since
2007
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone: (970) 495-7000
Fax: (303) 306-7753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7600 E Arapahoe Rd, Centennial, CO 80112-1260 — (970) 222-1766
  • 1801 16th St, Greeley, CO 80631-5154 — (970) 810-4529
  • 6767 29th St Fl 2, Greeley, CO 80634 — (970) 652-2433

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0002245 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 20331 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 506 (AK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 195 (WY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2245 (CO)

Record details

NPI number1619091451
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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