Individual provider Active NPI

Melissa James, PA-C

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1003167966
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003798 Issued in CO
Practice address
10107 Ridgegate Pkwy Ste 120
Lone Tree, CO 80124-5640
Phone
(303) 955-7574
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0003798 CO Primary

Addresses

Primary practice location

10107 Ridgegate Pkwy Ste 120
Lone Tree, CO 80124-5640

Mailing address

10107 Ridgegate Pkwy Ste 120
Lone Tree, CO 80124-5640
Phone (303) 955-7574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190524001054 CO Practitioner - Physician Assistant 8224371703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern Univ College of Dental Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services-Surgical Specialties LLCGroup PAC ID 2365537768, 42 clinicians

Practice addresses (Care Compare)

10107 Ridgegate Pkwy
Suite 120
Lone Tree, CO 80124-5640
Phone (303) 955-7574

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 750-4933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0003798COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services-Surgical Specialties LLC CurrentSince Dec 6, 2020 Accepting new patients

Locations

10107 Ridgegate Pkwy
Ste 120
Lone Tree, CO 80124

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: melissa.james@hca3.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1003167966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 120",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245640",
            "telephone_number": "303-955-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 120",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245640",
            "telephone_number": "303-955-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.