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Active NPI 1265405708 Individual Practitioner Male Practitioner

Jeffrey G Stoll , PA

Physician Assistant • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jeffrey Stoll, PA is a certified Physician Assistant practicing in Boulder, CO. With approximately 10 years of clinical experience since completing medical education in 2016, Jeffrey Stoll delivers high-quality medical care to the local community at 2525 13TH ST.

Jeffrey Stoll is affiliated with Clinica Campesina Family Health Services and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2525 13th St

Boulder, CO 803044104

Telephone 3034496050
Fax 7205654128
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -2.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
101 Specialists

Practicing in Boulder, CO (3810 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stoll (10 Years) 10 Yrs
Boulder Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-05-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA.0004872

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00008865

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
70609373 (CO)

Hospital & Practice Group Affiliations

Clinica Campesina Family Health Services

1735 S Public Rd, Lafayette, CO 800267093

Phone: 3036653036

Practice Associates & Co-Workers

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

40 Associated Practitioners
Franciska Moore

Registered Nurse

NPI 1013059302
Emily Barnak , PA-C

Physician Assistant

NPI 1033441431

Physician Assistant (Certified)

Sally Lowell , NP

Nurse Practitioner - Family

NPI 1043473499

Nurse Practitioner

Rachel Hess , PA-C

Physician Assistant - Medical

NPI 1053335562

Physician Assistant (Certified)

Amber Ivanova , LCSW, LAC

Social Worker - Clinical

NPI 1063917862

Licensed Clinical Social Worker, Licensed Acupuncturist

Eleanor Walker , ARNP

Nurse Practitioner

NPI 1073997458

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
👤
Provider Name / Credentials Updated January 05, 2021

Recorded as JEFFREY STOLL, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2020

Dentist (License #DEN.00008865 in CO)

📍
Updated Business Mailing Address February 13, 2020

Registered at 1735 S PUBLIC RD STE 203, LAFAYETTE, CO 800267093 (Tel: 3036653036)

👤
Provider Name / Credentials Updated February 13, 2020

Recorded as JEFFREY STOLL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2020

Physician Assistant (License #PA.0004872 in CO)

NPI Profile Active December 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2016

Registered at 2525 13TH ST, BOULDER, CO 803044104 (Tel: 3034496050)

📍
Updated Business Mailing Address December 22, 2016

Registered at 1345 PLAZA CT N, LAFAYETTE, CO 800263531 (Tel: 3036653036)

👤
Provider Name / Credentials Updated December 22, 2016

Recorded as JEFFREY STOLL, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2016

Dentist (License #8865 in CO)

🟢
Initial NPI Registration & Enumeration February 07, 2006

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: 1265405708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2006
Last Update: May 18, 2021
Sole Proprietor: No

Mailing Address

1735 S Public Rd Ste 203

Lafayette, CO 800267093

Phone: 3036653036

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.