Stacie Jackson, PA-C
Physician Assistant · Longmont, CO
At a glance
1630 Dry Creek Dr Ste 200, Longmont, CO 80503-6405
NPPES record updated Aug 3, 2021. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1630 Dry Creek Dr Ste 200Longmont, CO 80503-6405
Additional reported practice locations
68 School RoadSuite 250
Frisco, CO 80443
Phone: 7202799098
Fax: 7205404250 13654 Xavier Ln Ste 2010B
Broomfield, CO 800233606
Phone: 7202799098
Fax: 7205404250 9399 Crown Crest Blvd Ste 350
Parker, CO 801388542
Phone: 7202799098
Fax: 7205404250 1974 Blue Mesa Ct
Loveland, CO 805384125
Phone: 7202799098
Fax: 7205404250 4895 Riverbend Rd Ste A
Boulder, CO 803012640
Phone: 7202799098
Fax: 7205404250
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2017
- CMS specialties
- Physician Assistant
CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Education | $54.99 |
Reporting companies
| Company | Amount |
|---|---|
| HARMONY BIOSCIENCES LLC | $54.99 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physician Assistant
- Taxonomy code
- 363A00000X
- Enumeration date
- Jul 27, 2017
- Record updated
- Aug 3, 2021
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- PA-C
Reported taxonomies and licenses
363A00000X · Primary
License reported: PA.0005029 CO
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1630 Dry Creek Dr Ste 200Longmont, CO 80503-6405
- Phone
- (720) 279-9098
- Fax
- (720) 540-4250
Mailing address
6500 WEST 29TH ST STE 106GREELEY, CO 806348386
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue