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Deactivated NPI 1265402820 Deactivated / Inactive NPI Female Practitioner

Jeannie Bowers Phillips , PA-C

Physician Assistant • Ft Carson, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeannie Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2006
NPI Deactivation Date December 07, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Jeannie Phillips, PA-C was a registered Physician Assistant practicing in Ft Carson, CO. Throughout an active medical career spanning 12 years, Jeannie Phillips provided care at the practice location at 1853 OCONNELL BLVD until profile deactivation on 2018-12-07.

Practice Location & Contact Primary Location

Practice Address

1853 Oconnell Blvd
Bldg 1042

Ft Carson, CO 809134055

Telephone 7195245559

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ft Carson, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Ft Carson, CO (3810 Statewide)

Telehealth Adoption Rate
10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 1143

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Ricky Bretthauer

Physician Assistant

NPI 1164575072
Kyra Turner-Schlieman , NP-C

Nurse Practitioner - Adult Health

NPI 1346203940

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 07, 2018

Record deactivated on December 07, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1853 OCONNELL BLVD, BLDG 1042, FT CARSON, CO 809134055 (Tel: 7195245559)

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Updated Business Mailing Address July 08, 2007

Registered at 2615 VILLA LOMA DR, COLORADO SPRINGS, CO 809174038

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEANNIE PHILLIPS, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #1143 in CO)

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Initial NPI Registration & Enumeration January 25, 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: 1265402820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2006
Last Update: July 08, 2007
Deactivation Date: December 07, 2018

Mailing Address

2615 Villa Loma Dr

Colorado Springs, CO 809174038

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.