Roy Alan Barnett

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

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Primary CareGroup PAC ID 3577988864, 9 clinicians

Practice addresses (Care Compare)

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 enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Summit Primary Care

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1356962849
  Medicare reassignment Care Compare group NPD
• Summit Primary Care

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1720861230
  NPD

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

• Arkansas Valley Regional Medical Center

  • Critical Access Hospital
  • La Junta, CO
  • NPI 1760489470
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba St. Mary-Corwin Hospital

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1306857974
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba St. Mary-Corwin Wound Care Center

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1841830452
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Centura Health - St. Mary Corwin Hospital

  • Nursing Facility/Intermediate Care Facility
  • Pueblo, CO
  • NPI 1942391487

  Hospital

  Care Compare affiliation
• Prowers County Hospital District

  dba Prowers Medical Center

  • Critical Access Hospital
  • Lamar, CO
  • NPI 1821052929
  Care Compare affiliation

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

{
    "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": []
}

• Arkansas Valley Regional Medical Center Swing Bed
• Jessica Ashenfelter, PHARMD
• Carmalita Baca
• Ballantyne Vision Care LLC
• Jordan Brett Ballantyne, O.D.
• Veronica Ethel Bartlett, FNP, MS-RN
• Jared Bateman
• Theresa Marie Bauer, LPC, CAC III
• Jill Renee Bauserman, B.S.
• Vernice Ann R Bautista, P.A.-C

• Physician Assistant in La Junta, CO
• Providers in La Junta, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.