Wendy Renee Ortiz, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1604 Issued in CO

Practice address

10359 Federal Blvd
Suite 210
Westminster, CO 80260-7452

Phone

(303) 404-0200

Fax

(303) 404-2828

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Wendy Renee Suchey Former name

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Colorado LLCGroup PAC ID 8921354341, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.54 of 100Reported as group

Quality

91.07

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wendy.ortiz@epiphanyderm.emadirect.md

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.

• Epiphany Dermatology of Colorado, LLC

  • Dermatology Physician
  • Denver, CO
  • NPI 1992297469
  Medicare reassignment Care Compare group
• Flatirons Dermatology PLLC

  • Dermatology Physician
  • Broomfield, CO
  • NPI 1881789469
  Medicare reassignment
• Columbine Dermatology PC

  • Procedural Dermatology Physician
  • Westminster, CO
  • NPI 1902898711
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1003965203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10359 N FEDERAL BOULEVARD",
            "address_2": "SUITE 210",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802607453",
            "telephone_number": "303-289-1928",
            "fax_number": "303-404-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10359 FEDERAL BLVD",
            "address_2": "SUITE 210",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802607452",
            "telephone_number": "303-404-0200",
            "fax_number": "303-404-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "WENDY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "SUCHEY",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Orthopedic Centers of Colorado, LLC
• Orthotic Prosthetic Solutions, L.L.C.
• Orthotic Prosthetic Solutions, LLC
• Ammiel Ortiz
• Helen Ortiz
• Lourdes Otis-Hernandez
• Kenneth Ott, MD
• Jasmine Loi Ough
• Theodore Oughton, LPN
• Valerie Overmyer, RBT

• Medical Physician Assistant in Westminster, CO
• Providers in Westminster, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.

Verify at the official NPI Registry.