Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Keli Nalu Patricia Jackson , PA-C

Physician Assistant β€’ Centennial, CO

Active NPI 1447062211 Individual Practitioner Female Practitioner
Practice location in NPPES

6746 S Revere Pkwy Ste 180
Centennial, CO 801126763

Call 3036323640 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6746 S Revere Pkwy Ste 180

Centennial, CO 801126763

Telephone 3036323640
Fax 3036323642
Organization at the Same NPPES Address or Phone
Geraghty Family Medicine Pc Facility NPI 1285823963

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Centennial and Colorado

59 active clinicians are listed under Physician Assistant with a practice address in Centennial, CO (3,767 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Centennial

13.6% of these 59 clinicians have the CMS telehealth indicator.

35.6% of these 59 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CO 0008946

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Megan Champion , NP

Nurse Practitioner - Family

NPI 1013369255

Nurse Practitioner

Stephanie Cowley-Thompson , FNP-C

Nurse Practitioner - Family

NPI 1699372318

Family Nurse Practitioner (Certified)

Kirsten Daly

Physician Assistant

NPI 1114507258
Dr. John Geraghty , MD

Family Medicine

NPI 1508800566

Doctor of Medicine (M.D.)

Shannon Johnson , PA-C

Physician Assistant - Medical

NPI 1295012508

Physician Assistant (Certified)

Christine Merritt , FNP-BC

Nurse Practitioner - Family

NPI 1487979555

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 11, 2025

Registered at 6746 S REVERE PKWY STE 180, CENTENNIAL, CO 801126763 (Tel: 3036323640)

πŸ“
Updated Business Mailing Address June 11, 2025

Registered at 6746 S REVERE PKWY STE 180, CENTENNIAL, CO 801126763 (Tel: 3036323640)

βœ…
NPI Profile Active January 21, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 21, 2025

Registered at 800 BELLAIRE ST APT 437, DENVER, CO 802204968 (Tel: 8086405444)

πŸ“
Business Mailing Address (Initial Record) January 21, 2025

Registered at 800 BELLAIRE ST APT 437, DENVER, CO 802204968 (Tel: 8086405444)

πŸ‘€
Provider Name / Credentials (Initial Record) January 21, 2025

Recorded as KELI JACKSON, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2025

Physician Assistant (license number reported to NPPES: CO 0008946)

🟒
Initial NPI Registration & Enumeration January 21, 2025

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1447062211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2025
Last Update: June 11, 2025
Sole Proprietor: No

Other Physician Assistants in Centennial

All Physician Assistants in Centennial

Mailing Address

6746 S Revere Pkwy Ste 180

Centennial, CO 801126763

Phone: 3036323640

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.