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

MS. Jessica Jo Lieland, PA

Individual provider Physician Assistant · NPI 1831320878

MS. Jessica Jo Lieland, PA is a Physician Assistant in Avila Beach, California. Qualified in 2009, 17 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

6627 Bay Laurel Place A
Avila Beach, CA 93424-0490
Phone: (805) 540-3071
Fax: (805) 540-3072
Show map & directions

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

Additional practice locations (1)

  • 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 — (719) 542-1500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20448 (CA)

Record details

NPI number1831320878
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 6, 2009
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 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 locations3 on file with Medicare