Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacqueline Ashley Gardner, PA-C

Individual provider Physician Assistant · NPI 1720621964

Mrs. Jacqueline Ashley Gardner, PA-C is a Physician Assistant in Littleton, Colorado. Qualified 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
Licensed in
CO
In the registry since
2019
Specialties on file
2
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

8155 Piney River Ave
Littleton, CO 80125-8728
Phone: (303) 265-3370
Fax: (303) 265-3371
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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.005975 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 00005975 (CO)

Record details

NPI number1720621964
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 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 locations3 on file with Medicare

Other providers in Littleton