| Physician Housecalls LLC | |
|
12600 W Colfax Ave Ste B200 Lakewood CO 80215-3736 | |
| (720) 923-1250 | |
| (303) 284-4082 |
| Full Name | Physician Housecalls LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 12600 W Colfax Ave Ste B200, Lakewood, Colorado |
| Authorized Official Name and Position | Debra Kay Moon-wadelton (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7209231250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Housecalls LLC 12600 W Colfax Ave Ste B200 Lakewood CO 80215-3736 Ph: (720) 923-1250 | Physician Housecalls LLC 12600 W Colfax Ave Ste B200 Lakewood CO 80215-3736 Ph: (720) 923-1250 |
| NPI Number | 1295789824 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/23/2026 |
| Medicare PECOS PAC ID | 0840212809 |
|---|---|
| Medicare Enrollment ID | O20051219001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295789824 | NPI | - | NPPES |
| 42277531 | Medicaid | CO | |
| DE1013 | Other | CO | RR MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Thomas J Lally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568438653 PECOS PAC ID: 2466354717 Enrollment ID: I20040205000779 |
| Provider Name | Danielle M Santry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003969734 PECOS PAC ID: 4688661622 Enrollment ID: I20040429001378 |
| Provider Name | Richard Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619067097 PECOS PAC ID: 4981797834 Enrollment ID: I20070907000670 |
| Provider Name | Angela L Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104827054 PECOS PAC ID: 0143313049 Enrollment ID: I20070910000131 |
| Provider Name | Megan M Graeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871623710 PECOS PAC ID: 7012005234 Enrollment ID: I20071121000223 |
| Provider Name | Catherine a Mascarenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043347065 PECOS PAC ID: 2961560412 Enrollment ID: I20081028000153 |
| Provider Name | Danielle Ann Whitacre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134316540 PECOS PAC ID: 7517003601 Enrollment ID: I20091002000338 |
| Provider Name | Siva Surapanani |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1588733968 PECOS PAC ID: 7416956206 Enrollment ID: I20100428000592 |
| Provider Name | Diahn E Lohman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538145701 PECOS PAC ID: 5092843235 Enrollment ID: I20100510000672 |
| Provider Name | Michael J Lockwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225040033 PECOS PAC ID: 8325177223 Enrollment ID: I20100708000601 |
| Provider Name | Teri Ann Porter Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780916098 PECOS PAC ID: 9133318868 Enrollment ID: I20110112000395 |
| Provider Name | Shannon D Ryan-cebula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619131018 PECOS PAC ID: 9638359649 Enrollment ID: I20110208001066 |
| Provider Name | Joseph M Alisky |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811004161 PECOS PAC ID: 8224201355 Enrollment ID: I20111104000247 |
| Provider Name | Krista Lynn Enns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124302807 PECOS PAC ID: 4486828241 Enrollment ID: I20111114000614 |
| Provider Name | Neal Melvin Kruse Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689950768 PECOS PAC ID: 6800061342 Enrollment ID: I20111212000080 |
| Provider Name | Lilias K Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841564432 PECOS PAC ID: 8022254374 Enrollment ID: I20130411000479 |
| Provider Name | William M Chisholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932425923 PECOS PAC ID: 0547497059 Enrollment ID: I20131207000180 |
| Provider Name | Heidi a Barron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184042376 PECOS PAC ID: 2466678040 Enrollment ID: I20140717002031 |
| Provider Name | Jean M Burnkrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659788248 PECOS PAC ID: 1759500622 Enrollment ID: I20140909000897 |
| Provider Name | Michael a Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972534329 PECOS PAC ID: 8527001122 Enrollment ID: I20140920000128 |
| Provider Name | Laura Van Alstyne Jermyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689078263 PECOS PAC ID: 7315260379 Enrollment ID: I20141223001154 |
| Provider Name | Michelle Elizabeth Jenkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588005862 PECOS PAC ID: 6305076258 Enrollment ID: I20150622000432 |
| Provider Name | Kathy Michelle Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407272776 PECOS PAC ID: 5092020602 Enrollment ID: I20150811005473 |
| Provider Name | Angela Marie Ziemba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396112413 PECOS PAC ID: 4789992611 Enrollment ID: I20150926000031 |
| Provider Name | Casey Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447606074 PECOS PAC ID: 5395038517 Enrollment ID: I20160726002271 |
| Provider Name | Nicholas a Senna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972944056 PECOS PAC ID: 2769701713 Enrollment ID: I20170109000140 |
| Provider Name | Laura Allison Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417498213 PECOS PAC ID: 5092091082 Enrollment ID: I20170405000946 |
| Provider Name | Ann Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285144758 PECOS PAC ID: 6507122389 Enrollment ID: I20171110001388 |
| Provider Name | Jessica Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710498753 PECOS PAC ID: 2264799352 Enrollment ID: I20171128000825 |
| Provider Name | Juline Tannicia Mclean-murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255832895 PECOS PAC ID: 9234490285 Enrollment ID: I20180308000094 |
| Provider Name | Amy Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851830913 PECOS PAC ID: 0749567907 Enrollment ID: I20180312001276 |
| Provider Name | Emily Clare Ross Kubovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023586468 PECOS PAC ID: 3476807959 Enrollment ID: I20181120000948 |
| Provider Name | Randal Lester Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082038 PECOS PAC ID: 3678810884 Enrollment ID: I20190125002230 |
| Provider Name | Aleksandr M Kaplun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508309709 PECOS PAC ID: 3971862277 Enrollment ID: I20190521000542 |
| Provider Name | Amy M Dvorak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336707868 PECOS PAC ID: 7618201898 Enrollment ID: I20190621000098 |
| Provider Name | Emma Ann Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073998936 PECOS PAC ID: 4385974039 Enrollment ID: I20190924001789 |
| Provider Name | Kenneth Shane Hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942859152 PECOS PAC ID: 4880026129 Enrollment ID: I20191107001437 |
| Provider Name | Julu a Wagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184161473 PECOS PAC ID: 1850723438 Enrollment ID: I20191120001139 |
| Provider Name | Christi Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396371944 PECOS PAC ID: 9234550195 Enrollment ID: I20200601001412 |
| Provider Name | Alison Shea Selcer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902429939 PECOS PAC ID: 8022439785 Enrollment ID: I20200604001450 |
| Provider Name | Kyle William Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104434935 PECOS PAC ID: 6709201973 Enrollment ID: I20200805000442 |
| Provider Name | Lauren Pennartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811514383 PECOS PAC ID: 0840617353 Enrollment ID: I20200828002334 |
| Provider Name | Spencer Woolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962014894 PECOS PAC ID: 4284052572 Enrollment ID: I20200918000951 |
| Provider Name | Joanna Rice Hoopingarner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306448477 PECOS PAC ID: 8921419136 Enrollment ID: I20201119000648 |
| Provider Name | Heather Anne Krohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184259178 PECOS PAC ID: 4284045279 Enrollment ID: I20201123003146 |
| Provider Name | Jessica Binns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487258174 PECOS PAC ID: 4981016581 Enrollment ID: I20201223000171 |
| Provider Name | Joseph Michael Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558654103 PECOS PAC ID: 4183037641 Enrollment ID: I20201231000191 |
| Provider Name | Shelby Salley Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790189660 PECOS PAC ID: 0345653259 Enrollment ID: I20210114001700 |
| Provider Name | Lauren Michelle Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588188270 PECOS PAC ID: 4981017647 Enrollment ID: I20210119002778 |
| Provider Name | Shannon Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629470 PECOS PAC ID: 0244646149 Enrollment ID: I20210301001070 |
| Provider Name | Kathy Robin Thai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861087512 PECOS PAC ID: 8628485497 Enrollment ID: I20210322002558 |
| Provider Name | Ashley P Baranoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194307751 PECOS PAC ID: 9739588583 Enrollment ID: I20210527000284 |
| Provider Name | Justin Jimmy Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871138875 PECOS PAC ID: 3678974144 Enrollment ID: I20210622003130 |
| Provider Name | Lauryn Rose Sulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538742010 PECOS PAC ID: 9638575392 Enrollment ID: I20210903000169 |
| Provider Name | Samjhana Pandey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053989319 PECOS PAC ID: 9931507746 Enrollment ID: I20211008001311 |
| Provider Name | Pamela Allison Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770254872 PECOS PAC ID: 9335547009 Enrollment ID: I20211011000955 |
| Provider Name | Shannon Le Hoerauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689336513 PECOS PAC ID: 5890185383 Enrollment ID: I20211123001986 |
| Provider Name | Katie Direen Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164188306 PECOS PAC ID: 2769873454 Enrollment ID: I20220107001105 |
| Provider Name | Alyssa J Kersch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003574005 PECOS PAC ID: 6406249168 Enrollment ID: I20220202001249 |
| Provider Name | Mallory a Jurgens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457010241 PECOS PAC ID: 3476948977 Enrollment ID: I20220321000380 |
| Provider Name | Bijori Chanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063165694 PECOS PAC ID: 3072908144 Enrollment ID: I20220328002401 |
| Provider Name | Olivia Marie Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730835273 PECOS PAC ID: 2961898853 Enrollment ID: I20220331003017 |
| Provider Name | Jillian Adriana Koller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700534203 PECOS PAC ID: 5294121000 Enrollment ID: I20220404002217 |
| Provider Name | Sajana Gajurel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841950037 PECOS PAC ID: 4082097290 Enrollment ID: I20220822002061 |
| Provider Name | Talin Eliza Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770248072 PECOS PAC ID: 9638553985 Enrollment ID: I20220906000521 |
| Provider Name | Jake C Quinn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801515432 PECOS PAC ID: 9234505579 Enrollment ID: I20221012000768 |
| Provider Name | Suraksha Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558027524 PECOS PAC ID: 0446637235 Enrollment ID: I20221130001838 |
| Provider Name | Ashley Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003356775 PECOS PAC ID: 0840669578 Enrollment ID: I20221219003017 |
| Provider Name | Sandra Ann Vigil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205584208 PECOS PAC ID: 1153791835 Enrollment ID: I20221222000356 |
| Provider Name | Jordan Zavala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275256166 PECOS PAC ID: 2567834955 Enrollment ID: I20230213000989 |
| Provider Name | Mindy Jane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801508767 PECOS PAC ID: 0446623391 Enrollment ID: I20230224000608 |
| Provider Name | Chelsea Goston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760180590 PECOS PAC ID: 3476928581 Enrollment ID: I20230403001558 |
| Provider Name | Kevin Xie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861119190 PECOS PAC ID: 3476928367 Enrollment ID: I20230406000691 |
| Provider Name | Meredith Lynn Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215646252 PECOS PAC ID: 0941665806 Enrollment ID: I20230427001664 |
| Provider Name | April D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205583911 PECOS PAC ID: 6002277852 Enrollment ID: I20230726004180 |
| Provider Name | Trang Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174203061 PECOS PAC ID: 9931563673 Enrollment ID: I20230913001845 |
| Provider Name | Laura Fries Mccrery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912780057 PECOS PAC ID: 9234593625 Enrollment ID: I20230919001505 |
| Provider Name | Jenny Kay Allgire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134903156 PECOS PAC ID: 0345694667 Enrollment ID: I20230920002592 |
| Provider Name | Emily Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790484434 PECOS PAC ID: 6709230188 Enrollment ID: I20231004001380 |
| Provider Name | Jill Renee Knudsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528751245 PECOS PAC ID: 1355796772 Enrollment ID: I20231004003188 |
| Provider Name | Lauren Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205617347 PECOS PAC ID: 7810345238 Enrollment ID: I20231127000351 |
| Provider Name | Tenzin Kalden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053198820 PECOS PAC ID: 1658721295 Enrollment ID: I20231222002040 |
| Provider Name | Britanny Nicole Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801666102 PECOS PAC ID: 1658724687 Enrollment ID: I20240125004777 |
| Provider Name | Nicole Lippard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538922794 PECOS PAC ID: 7012352859 Enrollment ID: I20240301003596 |
| Provider Name | Rachael Elaine Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417712019 PECOS PAC ID: 4981040136 Enrollment ID: I20240309000704 |
| Provider Name | Alison Jeane Parks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487436523 PECOS PAC ID: 7315383577 Enrollment ID: I20240311000174 |
| Provider Name | Matthew Capell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245092295 PECOS PAC ID: 2860838646 Enrollment ID: I20240314004105 |
| Provider Name | Tyla Ann Healton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851309801 PECOS PAC ID: 4183717242 Enrollment ID: I20240315001493 |
| Provider Name | Olivia Cisneros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386401800 PECOS PAC ID: 5799122818 Enrollment ID: I20240326000458 |
| Provider Name | Audrey Marie Helt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902659527 PECOS PAC ID: 1254771983 Enrollment ID: I20240429002953 |
| Provider Name | Courtney Irene Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366294506 PECOS PAC ID: 8527408277 Enrollment ID: I20240429003358 |
| Provider Name | Sandra Mary Melling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033965827 PECOS PAC ID: 0749622942 Enrollment ID: I20240520001982 |
| Provider Name | Samantha Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285483255 PECOS PAC ID: 4789026576 Enrollment ID: I20240524001070 |
| Provider Name | Amarley Amartey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053162461 PECOS PAC ID: 9335683218 Enrollment ID: I20240702003569 |
| Provider Name | Robin Parent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063256964 PECOS PAC ID: 6901341601 Enrollment ID: I20240717001495 |
| Provider Name | Miranda Suzanne Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922842830 PECOS PAC ID: 0749729325 Enrollment ID: I20240827002773 |
| Provider Name | Emma Mae Masi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992586952 PECOS PAC ID: 3971043399 Enrollment ID: I20240911003058 |
| Provider Name | Morgan Leigh Yendrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215765284 PECOS PAC ID: 9931649233 Enrollment ID: I20240913000741 |
| Provider Name | Evelyn Pope |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558147199 PECOS PAC ID: 2769923747 Enrollment ID: I20240917004982 |
| Provider Name | Hannah Rose Paradise-sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760216618 PECOS PAC ID: 4183165194 Enrollment ID: I20240918000823 |
| Provider Name | Rachel Marie Megquier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679306369 PECOS PAC ID: 9638610538 Enrollment ID: I20240918004679 |
| Provider Name | Ashley Megan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194559849 PECOS PAC ID: 5092256776 Enrollment ID: I20240920003222 |
| Provider Name | Raena Eufemia Schneiderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851132641 PECOS PAC ID: 7315488830 Enrollment ID: I20240924000942 |
| Provider Name | Maria Regina Coates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902653728 PECOS PAC ID: 3678007531 Enrollment ID: I20241114002142 |
| Provider Name | Kenzie Lee Hoinkis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396565255 PECOS PAC ID: 1456885268 Enrollment ID: I20241114004684 |
| Provider Name | Ashley N Lefebre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437983137 PECOS PAC ID: 7113453135 Enrollment ID: I20241212004515 |
| Provider Name | Jennifer Edwina Niew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104632181 PECOS PAC ID: 2567992415 Enrollment ID: I20250207002095 |
| Provider Name | Breanna S Maddux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083423685 PECOS PAC ID: 3971023185 Enrollment ID: I20250218003311 |
| Provider Name | Monica Lynn Hodgkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952119000 PECOS PAC ID: 0446770499 Enrollment ID: I20250221000728 |
| Provider Name | Mary Elizabeth Klahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386455509 PECOS PAC ID: 3173047115 Enrollment ID: I20250410003127 |
| Provider Name | Courtney M Hardy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295423085 PECOS PAC ID: 2163948035 Enrollment ID: I20250424000972 |
| Provider Name | Kelsey Sexton Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902671415 PECOS PAC ID: 7719404433 Enrollment ID: I20250506003750 |
| Provider Name | Lindsey G Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588555627 PECOS PAC ID: 4183131600 Enrollment ID: I20250729004517 |
| Provider Name | Kristen Mary Lendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023909967 PECOS PAC ID: 0042711418 Enrollment ID: I20250827005178 |
| Provider Name | Laura Kaitlin Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083409205 PECOS PAC ID: 9830693381 Enrollment ID: I20250917003887 |
| Provider Name | Caitlyn Patricia Disanto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821810169 PECOS PAC ID: 9931604543 Enrollment ID: I20250924004532 |
| Provider Name | Ilsa G Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972177749 PECOS PAC ID: 3375947393 Enrollment ID: I20250926000472 |
| Provider Name | Chad David Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225910565 PECOS PAC ID: 0042716748 Enrollment ID: I20251001003598 |
| Provider Name | Jordan Lee Saxerud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801606793 PECOS PAC ID: 7517454721 Enrollment ID: I20251013001962 |
| Provider Name | Jennifer Mary Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174408546 PECOS PAC ID: 1759878762 Enrollment ID: I20251014002114 |
| Provider Name | Ashley Renae Zink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407670409 PECOS PAC ID: 4880181643 Enrollment ID: I20251015000558 |
| Provider Name | Katie Elizabeth Berkeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366332090 PECOS PAC ID: 9234627712 Enrollment ID: I20251024003719 |
| Provider Name | Rachel Lynn Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053299198 PECOS PAC ID: 3779072335 Enrollment ID: I20251103000828 |
| Provider Name | Brittney Sponsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689548547 PECOS PAC ID: 3577055078 Enrollment ID: I20251121003791 |
| Provider Name | Haley Nicole Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073489852 PECOS PAC ID: 1658865050 Enrollment ID: I20251212002000 |
| Provider Name | Ma Gennylou Cassel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578307203 PECOS PAC ID: 4688195845 Enrollment ID: I20251219000717 |
| Provider Name | Sandra J Housholder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326900341 PECOS PAC ID: 1355837949 Enrollment ID: I20260103510166 |
| Provider Name | Shrijana Dhakal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326904038 PECOS PAC ID: 3678051653 Enrollment ID: I20260130003215 |
| Provider Name | Lauren Marie Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548126956 PECOS PAC ID: 4880173830 Enrollment ID: I20260210000846 |
| Provider Name | Julie Kirsten Edgerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104344670 PECOS PAC ID: 1355821927 Enrollment ID: I20260213002219 |
| Provider Name | Anne M Goclano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558237529 PECOS PAC ID: 0941780316 Enrollment ID: I20260214000798 |
| Provider Name | Olivia Jane Kukura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275499311 PECOS PAC ID: 7113407552 Enrollment ID: I20260216002118 |
| Provider Name | Lucia Gabriela Botts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285263921 PECOS PAC ID: 9830673177 Enrollment ID: I20260324003522 |
| Provider Name | Grace Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578253357 PECOS PAC ID: 2668994088 Enrollment ID: I20260407001824 |
| Provider Name | Jessica Crystal Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477433431 PECOS PAC ID: 2062987639 Enrollment ID: I20260410002955 |
| Provider Name | Erik David Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386597706 PECOS PAC ID: 0648746875 Enrollment ID: I20260415003180 |
| Provider Name | Irene Yuste-herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346190451 PECOS PAC ID: 1850868241 Enrollment ID: I20260422003178 |
| Provider Name | Kaitlyn Eileen Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306789193 PECOS PAC ID: 2365913217 Enrollment ID: I20260602002119 |
| Provider Name | Danielle Louise Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306643895 PECOS PAC ID: 6608349774 Enrollment ID: I20260622001188 |
Colorado Physician Partners, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Garrison St Ste A, Lakewood, CO 80226 Phone: 720-728-5170 Fax: 720-866-9967 |
Comprehensive Behavioral Health Center LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 W Alameda Ave, Lakewood, CO 80226 Phone: 303-885-4774 |
Shim Internal Med Sah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S Routt St Ste 300, Lakewood, CO 80228 Phone: 720-321-8280 Fax: 720-321-8281 |
Stride Chc - Union Square Health Plaza Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12055 W 2nd Pl # 200, Lakewood, CO 80228 Phone: 303-360-6276 Fax: 303-343-0247 |
Stride Chc - Rose Stein Elementary School Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 S Teller St, Lakewood, CO 80226 Phone: 303-360-6276 Fax: 303-343-0247 |
Renaissance at Concord Plaza Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1793 Kendall St, Lakewood, CO 80214 Phone: 303-293-2220 |