Active NPI 1063810844 Individual Practitioner Male Practitioner

Jesse Ennis , PA-C

Physician Assistant • Homer, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jesse Ennis, PA-C is a certified Physician Assistant practicing in Homer, AK. With approximately 10 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 2016, Jesse Ennis delivers high-quality medical care to the local community at 4201 BARTLETT ST.

Jesse Ennis is affiliated with Goodland Regional Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4201 Bartlett St

Homer, AK 996037015

Telephone 9072357000

Associated Practice Facility / Clinic

🏢 South Peninsula Hospital, Inc Facility NPI 1164400750

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Homer, AK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs Matches City Avg

City Avg: 10.0 Yrs

State Avg: 15.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Homer, AK (551 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ennis (10 Years) 10 Yrs

Homer Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	31	28	$79.68	$55.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	19	19	$765.63	$101.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	35	35	$1104.37	$148.74
99284 Emergency department visit with moderate level of medical decision making	29	29	$751.76	$102.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	22	$54.00	$7.01
99283 Emergency department visit with low level of medical decision making	20	20	$398.80	$60.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	76	70	$640.00	$102.05
99285 Emergency department visit for life threatening or functioning severity	60	59	$945.00	$148.73
99283 Emergency department visit with low level of medical decision making	46	37	$370.46	$60.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	71	66	$640.00	$99.67
99285 Emergency department visit for life threatening or functioning severity	66	66	$945.00	$144.92
99283 Emergency department visit with low level of medical decision making	53	51	$370.00	$54.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	98	93	$640.00	$98.16
99283 Emergency department visit with low level of medical decision making	81	72	$370.00	$51.76
99285 Emergency department visit for life threatening or functioning severity	61	61	$945.00	$144.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	116	108	$635.73	$98.04
99285 Emergency department visit for life threatening or functioning severity	83	81	$944.71	$144.37
99283 Emergency department visit with low level of medical decision making	78	71	$370.00	$51.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	268	174	$185.00	$79.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	73	$276.00	$117.67
36415 Insertion of needle into vein for collection of blood sample	60	48	$24.00	$2.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	17	$73.00	$21.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	15	$123.00	$46.23
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$264.00	$80.43
99284 Emergency department visit with moderate level of medical decision making	14	14	$595.00	$97.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$369.00	$159.31
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$226.00	$17.79

Medical Specialties & State Licenses

CMS Verified: 2026-04-23

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA.0007001

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Goodland Regional Medical Center

106 Willow Rd, Goodland, KS 677351518

Phone: 7858906012

Goodland Regional Medical Center

220 W 2nd St, Goodland, KS 677351602

Phone: 7858906012

Secondary Practice Locations

16951 E Quincy Ave

Aurora, CO 800151901

Phone: 3037525480

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Meghan Young , ARNP

Nurse Practitioner - Family

NPI 1093350464

Advanced Registered Nurse Practitioner

Susan Blizzard

Nurse Practitioner - Family

NPI 1114438124

Ann Anderson , PA

Physician Assistant

NPI 1619045267

Physician Assistant

Dr. Kenneth Hahn , MD

Family Medicine

NPI 1760550776

Doctor of Medicine (M.D.)

Nancy Mackey , PA

Physician Assistant

NPI 1790853331

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address April 23, 2026

Registered at 16951 E QUINCY AVE, AURORA, CO 800151901 (Tel: 3037525480)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2026

Physician Assistant (License #PA.0007001 in CO)

✅

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2016

Registered at 4201 BARTLETT ST, HOMER, AK 996037015 (Tel: 9072357000)

📍

Updated Business Mailing Address November 30, 2016

Registered at 4201 BARTLETT ST, HOMER, AK 996037015

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as JESSE ENNIS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Physician Assistant (License #115396 in AK)

🟢

Initial NPI Registration & Enumeration December 10, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063810844

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 10, 2014

Last Update: April 23, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

16951 E Quincy Ave

Aurora, CO 800151901

Phone: 3037525480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.