Individual provider Active NPI

Emily Lynn Rauchut, PA

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1003773896
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009617 Issued in CO
Practice address
6031 E Woodmen Rd Ste 300
Colorado Springs, CO 80923-2624
Phone
(719) 521-3391
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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.0009617 CO Primary

Addresses

Primary practice location

6031 E Woodmen Rd Ste 300
Colorado Springs, CO 80923-2624

Mailing address

12625 Highland Oaks PL
Colorado Springs, CO 80921-3675
Phone (719) 439-3095

Other practice location 1

3030 N Circle Dr Ste 300
Colorado Springs, CO 80909-1180
Phone (719) 521-3391

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
I20260211003727 CO Practitioner - Physician Assistant 2961981675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Otolaryngology Associates, LLCGroup PAC ID 1557253705, 21 clinicians

Practice addresses (Care Compare)

6031 E Woodmen Rd
300 St. Peregrine
Colorado Springs, CO 80923-2624
Phone (719) 867-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0009617COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Otolaryngology Associates, LLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909
Phone (719) 373-1289

6031 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 484-8626

Organizations & group practices 1

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": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1003773896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGHLAND OAKS PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213675",
            "telephone_number": "719-439-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 E WOODMEN RD STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232624",
            "telephone_number": "719-521-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 N Circle Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091180",
            "country_code": "US",
            "telephone_number": "719-521-3391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUCHUT",
        "first_name": "EMILY",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.