NPIMap

Individual provider Active NPI

Melanie Anicee Anderson, PA-C

  • Medical Physician Assistant
  • Thornton, CO
National Provider Identifier
1013075423
Registry record updated Jul 8, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1227 Issued in CO
Practice address
3655 E 104TH Ave
Thornton, CO 80233-4469
Phone
(303) 254-8500
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1227 CO Primary

Addresses

Primary practice location

3655 E 104TH Ave
Thornton, CO 80233-4469

Mailing address

3655 E 104TH Ave
Thornton, CO 80233-4469
Phone (303) 254-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211207000622 CO Practitioner - Physician Assistant 6305160078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (720) 728-5170

3655 E 104TH Ave
Unit a
Thornton, CO 80233-6136
Phone (303) 254-8500

Hospital & facility affiliations

  • HCA Healthone Mountain Ridge Hospital, Thornton, CO, CCN 060065
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1227COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Family Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

3655 E 104th Ave
Thornton, CO 80233
Phone (303) 254-8500

3655 E 104th Ave
Unit A
Thornton, CO 80233
Phone (303) 254-8500

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013075423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 E 104TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334469",
            "telephone_number": "303-254-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E 104TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334469",
            "telephone_number": "303-254-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELANIE",
        "middle_name": "ANICEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.