Active NPI
Erena Hintsa, PA-C
- Physician Assistant
- Laramie, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PT775
- Practice address
- 1909 Vista Dr
Laramie, WY 82070-5599 - Phone
- (307) 745-8851
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PT775 | WY | Primary |
Addresses
Primary practice location
1909 Vista Dr
Laramie, WY 82070-5599
Mailing address
1909 Vista Dr
Laramie, WY 82070-5599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385
11350 US Hwy 380
Suite 100
Cross Roads, TX 76227-8319
Phone (940) 228-0721
1559 W Main St
Lewisville, TX 75067-3394
Phone (972) 436-0333
2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901
4524 W Bailey Boswell Rd
Fort Worth, TX 76179-4319
Phone (817) 720-9685
5301 William D Tate Ave
Suite 100
Grapevine, TX 76051-7357
Phone (817) 251-2101
5405 S Cooper St
Arlington, TX 76017-6148
Phone (817) 465-4928
7232 N Fwy
Fort Worth, TX 76137-2481
Phone (817) 439-8100
8901 N Fwy 111
Fort Worth, TX 76177-7655
Phone (469) 778-5228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Primary Care | Current | Accepting new patients | |
| Summit Primary Care | Current | Accepting new patients | |
| Summit Primary Care | Past | Accepting new patients |
Locations
75 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 300-1122
300 E Hampden Ave
Ste 201
Englewood, CO 80113
Phone (303) 991-7700
Interoperability endpoints
- ehintsa@premierbonejc1834.srs-direct.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
-
- Family Medicine Physician
- Pueblo, CO
- NPI 1316561558
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1720861230
-
- Family Medicine Physician
- Englewood, CO
- NPI 1356962849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1003393984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 VISTA DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 VISTA DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705599",
"telephone_number": "307-745-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTSA",
"first_name": "ERENA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "PT775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.