Individual provider Active NPI

Natasha Brianne Wolinski, P.A.-C.

  • Medical Physician Assistant
  • Peyton, CO
National Provider Identifier
1043466865
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2631 Issued in CO
Practice address
12050 Falcon Hwy
Peyton, CO 80831-8076
Phone
(719) 632-5700
Fax
(719) 344-7817
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2631 CO Primary

Addresses

Primary practice location

12050 Falcon Hwy
Peyton, CO 80831-8076

Mailing address

3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700

Other practice location 1

2141 N Academy Cir
Colorado Springs, CO 80909-1686
Phone (719) 597-4200 ext. 110

Other identifiers 1

IdentifierTypeStateIssuer
45936021MedicaidCO

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
I20081009000752 CO Practitioner - Physician Assistant 4183792617 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2631COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Aug 25, 2014 Accepting new patients
Peak Vista Community Health Centers CurrentSince Aug 25, 2014 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients

Locations

2828 International Cir
Ste 140
Colorado Springs, CO 80910
Phone (719) 344-7131

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 776-3600

12050 Falcon Hwy
Peyton, CO 80831
Phone (719) 344-6247

Interoperability endpoints

  • Direct secure messaging: natasha.wolinski.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 3

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043466865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175152",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 FALCON HWY",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318076",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 N Academy Cir",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091686",
            "country_code": "US",
            "telephone_number": "719-597-4200 x110",
            "fax_number": "719-597-4495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLINSKI",
        "first_name": "NATASHA",
        "middle_name": "BRIANNE",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45936021",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

Verify at the official NPI Registry.