Jesse Ennis, PA-C
NPI 1063810844 · Physician Assistant · Homer, AK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Ennis, PA-C is a Physician Assistant provider in Homer, AK (NPI 1063810844).
Provider details
- NPI number
- 1063810844
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA.0007001 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
31 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 31 | $56 |
Typical Medicare-allowed amounts for these services range $56–$56 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 16951 E Quincy AveAurora, CO 80015-1901Phone: (303) 752-5480Fax: (303) 752-5481
Registry dates
- Enumerated
- 2014-12-10
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is Jesse Ennis's NPI number?
- Jesse Ennis's National Provider Identifier (NPI) is 1063810844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Ennis's specialty?
- Jesse Ennis is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jesse Ennis located?
- Jesse Ennis's practice location on file with NPPES is 4201 Bartlett St, Homer, AK 99603-7015.
- What is Jesse Ennis's phone number?
- The practice phone number listed in the NPPES registry for Jesse Ennis is (907) 235-7000.
- Does Jesse Ennis accept Medicare?
- Jesse Ennis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Ennis's NPI active?
- Yes — Jesse Ennis's NPI (1063810844) is active in the NPPES registry as of the last update on 2026-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.