MEDICARE: MR. JACOB ANDREW ROBERTSON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant	PA9116481	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	024715-01	OTHER	NY	NEW YORK STATE LICENSE
2	1160504	OTHER		NCCPA
3	PA9116481	OTHER	FL	FLORIDAPALICENSE

General Provider Information

NPI Number	:	1922564913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JACOB ANDREW ROBERTSON PA-C

Provider Business Mailing Address
First Line	:	601 E HAMPDEN AVE STE 470
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2797
Country	:	US
Telephone Number	:	303-788-3150
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E HAMPDEN AVE STE 470
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2797
Country	:	US
Telephone Number	:	303-788-3150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2019
Last Update Date	:	03/20/2026

Similar Medicare Providers

1710835012 — SUJI CHOI
Practice Location Address:

601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO
80113-2797

Practice Phone: 303-788-3150
Practice Fax:

1609724871 — LAUREN LEE KAPUSHION
Practice Location Address:

601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO
80113-2797

Practice Phone: 303-788-3150
Practice Fax:

1841266616 — JAMES C LUKBAN MD
Practice Location Address:

601 E HAMPDEN AVE STE 460
ENGLEWOOD, CO
80113-2797

Practice Phone: 303-955-8059
Practice Fax: 303-788-6608

1033292560 — HEALTHONE CLINIC SERVICES LLC
Practice Location Address:

601 E HAMPDEN AVE , SUITE 465
ENGLEWOOD, CO
80113-2797

Practice Phone: 303-761-8358
Practice Fax: 303-761-8401

1083903165 — KENYON JOSEPH WEIDLE M.D.
Practice Location Address:

601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO
80113-2797

Practice Phone: 303-788-3100
Practice Fax: 303-788-3196

1588007785 — LISA ROSE ROTHLEIN-NARON
Practice Location Address:

601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO
80113-2797

Practice Phone: 303-788-3100
Practice Fax: 720-746-6308

Directions to “ MR. JACOB ANDREW ROBERTSON PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.