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

Stacie Jackson, PA-C

Individual provider Physician Assistant · NPI 1538683909

Stacie Jackson, PA-C is a Physician Assistant in Longmont, Colorado. Qualified in 2017, 9 years ago. Practices with Elan Sleep LLC, a 21-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
9
Licensed in
CO
In the registry since
2017
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

1630 Dry Creek Dr Ste 200
Longmont, CO 80503-6405
Phone: (720) 279-9098
Fax: (720) 540-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 4895 Riverbend Rd Ste A, Boulder, CO 80301-2640 — (720) 279-9098
  • 13654 Xavier Ln Ste 2010b, Broomfield, CO 80023-3606 — (720) 279-9098
  • 68 School Road, Frisco, CO 80443 — (720) 279-9098
  • 1974 Blue Mesa Ct, Loveland, CO 80538-4125 — (720) 279-9098
  • 9399 Crown Crest Blvd Ste 350, Parker, CO 80138-8542 — (720) 279-9098

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0005029 (CO)

Record details

NPI number1538683909
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 27, 2017
Last updated in NPPESAugust 3, 2021
Certification dateJuly 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Elan Sleep Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Longmont