Tara Adams, MSPAS, PA-C
Individual provider Active NPI Surgical Physician Assistant · Boulder, CO
NPI 1013674621 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1013674621
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA.0007078 (CO)
- Practice address
- 4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128 - Phone
- (303) 938-5700
- Fax
- (303) 998-0007
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 35
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Catholic Health Initiatives Colorado
Practice addresses (Care Compare)
2030 Mountain View Ave
Suite 210
Longmont, CO 80501-3180
Phone (720) 652-8930
Hospital & facility affiliations
- Boulder Community Health
- Longmont United Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220104002456 | CO | Practitioner - Physician Assistant | 0143611954 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0007078 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients |
Locations
2030 Mountain View Ave
Ste 210
Longmont, CO 80501
Phone (303) 684-1900
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.0007078 | CO | Yes |
| Physician Assistant | 363A00000X | 0007078 | CO |
Addresses
Primary practice location
4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128
Mailing address
2749 Walnut St Apt 419
Denver, CO 80205-2078
Phone (610) 295-9054
Other practice location 1
2030 Mountain View Ave Ste 210
Longmont, CO 80501-3180
Phone (303) 485-3560
Other practice location 2
2749 Walnut St Apt 419
Denver, CO 80205-2078
Phone (610) 295-9054
NPI Registry JSON
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1013674621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2749 WALNUT ST APT 419",
"city": "DENVER",
"state": "CO",
"postal_code": "802052078",
"telephone_number": "610-295-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4743 ARAPAHOE AVE STE 202",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031128",
"telephone_number": "303-938-5700",
"fax_number": "303-998-0007"
}
],
"practiceLocations": [
{
"address_1": "2030 Mountain View Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "805013180",
"country_code": "US",
"telephone_number": "303-485-3560",
"fax_number": "303-485-3561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2749 Walnut St Apt 419",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802052078",
"country_code": "US",
"telephone_number": "610-295-9054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "TARA",
"credential": "MSPAS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "PA.0007078",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "0007078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
- Christine Michelle Adams
- Jaclyn Marie Adams
- Julisa Danae Adams
- Melanie Adams
- Susan Virginia Adams
- Luke Addington
- Stephanie Addiss
- Reuben Addo
- Arielle Ades
- Adh Boulder PLLC
All providers in Boulder, CO · Surgical Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.