Individual provider Active NPI

Kendra Poarch, PA

  • Physician Assistant
  • Highlands Ranch, CO
National Provider Identifier
1013668607
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7111 Issued in CO
Practice address
9137 Ridgeline Blvd Ste 145
Highlands Ranch, CO 80129-2393
Phone
(303) 800-6093
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 7111 CO Primary

Addresses

Primary practice location

9137 Ridgeline Blvd Ste 145
Highlands Ranch, CO 80129-2393

Mailing address

3177 S Rockford Dr
Tulsa, OK 74105-2128
Phone (918) 346-7762

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
I20220308001226 CO Practitioner - Physician Assistant 0345634374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

350 Indiana St
Suite 300
Golden, CO 80401-5093
Phone (719) 540-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7111COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Psychiatry CurrentSince Feb 14, 2022 Accepting new patients
Family Care Center, LLC CurrentSince Feb 14, 2022 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

63 N Quebec St
Ste 201
Denver, CO 80230
Phone (303) 248-7897

4660 Yosemite St
Ste 201
Denver, CO 80238
Phone (303) 872-1740

3351 Eastbrook Dr
Ste 200
Fort Collins, CO 80525
Phone (970) 500-0164

350 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 248-7899

9137 Ridgeline Blvd
Ste 145
Highlands Ranch, CO 80129
Phone (303) 800-6093

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

363 Centennial Pkwy
Ste 220
Louisville, CO 80027
Phone (303) 879-9074

1880 Fall River Dr
Ste 250
Loveland, CO 80538
Phone (970) 775-8626

11990 Grant St
Ste 101
Northglenn, CO 80233
Phone (303) 537-8152

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1013668607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3177 S ROCKFORD DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052128",
            "telephone_number": "918-346-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 RIDGELINE BLVD STE 145",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292393",
            "telephone_number": "303-800-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POARCH",
        "first_name": "KENDRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "7111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.