Christopher J Kottenstette, PA-C, CPE

Key facts

NPI

1023099348

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

License

PA 0001157 (CO)

Practice address

4795 Larimer Pkwy
Johnstown, CO 80534-9021

Phone

(970) 342-2220

Fax

(970) 342-2221

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 10

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.

• Colorado Pain Practice, PLLC Pain Medicine (Anesthesiology) Physician · Lakewood, CO · NPI 1508285776
  Medicare reassignment Care Compare group CO
• Colorado Spine Institute Professional LLC Orthopaedic Surgery of the Spine Physician · Johnstown, CO · NPI 1801208236
  Medicare reassignment NPD CO
• Colorado Pain Practice, PLLC Pain Medicine (Anesthesiology) Physician · Castle Rock, CO · NPI 1568147270
  Care Compare group NPD
• Colorado Pain Practice, PLLC Pain Medicine (Anesthesiology) Physician · Denver, CO · NPI 1154846939
  Care Compare group NPD (past)
• Colorado Pain Practice, PLLC Pain Clinic/Center · Lakewood, CO · NPI 1043995715
  Care Compare group
• Colorado Pain Practice, LLC Pain Medicine (Anesthesiology) Physician · Denver, CO · NPI 1407481740
  NPD
• Colorado Pain Care, LLC Pain Medicine (Anesthesiology) Physician · Golden, CO · NPI 1528400082
  NPD (past)
• Colorado Pain Practice, LLC Pain Medicine (Anesthesiology) Physician · Denver, CO · NPI 1962037572
  NPD (past)
• Integrated Medical Consultants Specialist · Loveland, CO · NPI 1164432241
  NPD (past)
• Pain Partners MD LLC Interventional Pain Medicine Physician · Lafayette, CO · NPI 1720160229
  NPD (past)

Medicare Care Compare profile

Specialty

Physician Assistant

Education

University of Utah School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Pain Practice PLLC (15 clinicians)

Practice addresses (Care Compare)

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20146/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/FFHAED/Endpoint/FFHAED

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2023.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1023099348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 LARIMER PKWY",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349021",
            "telephone_number": "970-342-2220",
            "fax_number": "970-342-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 LARIMER PKWY",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349021",
            "telephone_number": "970-342-2220",
            "fax_number": "970-342-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTENSTETTE",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PA-C, CPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2011-0006",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22070",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "7881457-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA 0001157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Johnstown, CO · Medical Physician Assistant in Colorado