Stacie Jackson, PA-C
NPI 1538683909 · Physician Assistant · Longmont, CO
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacie Jackson, PA-C is a Physician Assistant provider in Longmont, CO (NPI 1538683909).
Provider details
- NPI number
- 1538683909
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA.0005029 (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 tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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 prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Trazodone Hcl | 24 |
| Clonazepam | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (5)
- 4895 Riverbend Rd Ste aBoulder, CO 80301-2640Phone: (720) 279-9098Fax: (720) 540-4250
- 13654 Xavier Ln Ste 2010bBroomfield, CO 80023-3606Phone: (720) 279-9098Fax: (720) 540-4250
- 68 School RoadSuite 250Frisco, CO 80443Phone: (720) 279-9098Fax: (720) 540-4250
- 1974 Blue Mesa CtLoveland, CO 80538-4125Phone: (720) 279-9098Fax: (720) 540-4250
- 9399 Crown Crest Blvd Ste 350Parker, CO 80138-8542Phone: (720) 279-9098Fax: (720) 540-4250
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2021-08-03
- Certified
- 2021-07-08
Frequently asked questions
- What is Stacie Jackson's NPI number?
- Stacie Jackson's National Provider Identifier (NPI) is 1538683909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacie Jackson's specialty?
- Stacie Jackson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacie Jackson located?
- Stacie Jackson's practice location on file with NPPES is 1630 Dry Creek Dr Ste 200, Longmont, CO 80503-6405.
- What is Stacie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Stacie Jackson is (720) 279-9098.
- Does Stacie Jackson accept Medicare?
- Stacie Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacie Jackson's NPI active?
- Yes — Stacie Jackson's NPI (1538683909) is active in the NPPES registry as of the last update on 2021-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.