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

Peter Jay Ienatsch, PA

Individual provider Physician Assistant · NPI 1679608038

Peter Jay Ienatsch, PA is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2006, 20 years ago. Practices with Optumcare Colorado Medical Group LLC, a 190-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
20
Licensed in
CO
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2610 Tenderfoot Hill St
Colorado Springs, CO 80906-3981
Phone: (719) 522-1133
Fax: (719) 576-2025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 — (719) 556-1306
  • 700 W Us Highway 24, Woodland Park, CO 80863-8975 — (719) 522-1133

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004947 (CO)

Record details

NPI number1679608038
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Optumcare Colorado Medical Group Llc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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