Jesse Ennis, PA-C
NPI 1063810844ActiveIndividual· Physician Assistant· Homer, AK
Physician Assistant (PA-C) in Homer, Alaska, trained at Oregon Health Sciences University School of Medicine (class of 2016). Mostly services rather than prescriptions: Medicare paid $2,617 for 51 patients in 2024, with only 37 Part D claims.
Overview
| NPI | 1063810844 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Dec 10, 2014 |
| Last updated in NPPES | Apr 23, 2026 |
| Certified by provider | Apr 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA.0007001 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO); Practitioner - Physician Assistant (KS); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 64 across 10 procedure codes |
| Paid by Medicare | $2,617 |
Part D prescriptions in 2024
| Prescriptions (claims) | 37 · 39 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $300.17 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Oregon Health Sciences University School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Physician Assistant |
Medical groups
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
- Goodland Regional Medical CenterGoodland, KS · 21 clinicians
Hospital affiliation
- Goodland Regional Medical CenterGoodland, KS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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