Individual provider Active NPI

Roy Alan Barnett

  • Physician Assistant
  • La Junta, CO
National Provider Identifier
1023754694
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007530 Issued in CO
Practice address
2317 San Juan Ave
La Junta, CO 81050-3340
Phone
(719) 383-2325
Fax
(719) 383-2327
NPI assigned
May 6, 2022
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Primary Care 9 clinicians

Practice addresses (Care Compare)

2317 San Juan Ave
La Junta, CO 81050-3340
Phone (719) 383-2325

Hospital & facility affiliations

  • Arkansas Valley Regional Medical Center Hospital, Lajuna, CO, CCN 061336
  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
  • Prowers Medical Center Hospital, Lamar, CO, CCN 061323

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20231201002788 CO Practitioner - Physician Assistant 3274981105 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Primary Care CurrentSince Nov 9, 2024 Accepting new patients
Summit Primary Care CurrentSince Nov 9, 2024 Accepting new patients

Locations

75 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 300-1122

300 E Hampden Ave
Ste 201
Englewood, CO 80113
Phone (303) 991-7700

2317 San Juan Ave
La Junta, CO 81050
Phone (719) 383-2325

1120 Minnequa Ave
Pueblo, CO 81004
Phone (719) 281-3285

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA.0007530 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

2317 San Juan Ave
La Junta, CO 81050-3340

Mailing address

1103 Senior Village Cir
La Junta, CO 81050-2656
Phone (719) 210-0554

Other practice location 1

1012 Belmont Ave
LA Junta, CO 81050-2101
Phone (719) 383-5500

Other practice location 2

185 Anchoria Way
Colorado Springs, CO 80919-1301
Phone (719) 210-0554

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2025.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1023754694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SENIOR VILLAGE CIR",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502656",
            "telephone_number": "719-210-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810503340",
            "telephone_number": "719-383-2325",
            "fax_number": "719-383-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "LA Junta",
            "state": "CO",
            "postal_code": "810502101",
            "country_code": "US",
            "telephone_number": "719-383-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Anchoria Way",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809191301",
            "country_code": "US",
            "telephone_number": "719-210-0554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "ROY",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.