Kelly Fleming Hilsenrath, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005921 Issued in CO

Practice address

555 17TH St Ste 400
Denver, CO 80202-3901

Phone

(720) 577-5251

Fax

(303) 684-7440

NPI assigned

Sep 2, 2010

Last updated

Apr 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kelly Lane Fleming Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Amaze Professional Medical Services PC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1225674625
  NPD
• Florida Musculoskeletal Surgical Group LLC

  dba ORTHOCARE Florida

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
  • NPI 1073850160
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1043527757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 17TH ST STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023901",
            "telephone_number": "720-577-5251",
            "fax_number": "303-684-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 17TH ST STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023901",
            "telephone_number": "720-577-5251",
            "fax_number": "303-684-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Medical Park Dr",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134680",
            "country_code": "US",
            "telephone_number": "813-615-7030",
            "fax_number": "813-615-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILSENRATH",
        "first_name": "KELLY",
        "middle_name": "FLEMING",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105541",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005921",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9105541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002742900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FLEMING",
            "middle_name": "LANE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alisa Hills, LSW
• David K Hills, PA-C
• Sara J Hills, PH.D.
• Renee Hillsman- Nimako, MSW
• Hannah Jo Hillyer
• Thomas Hayes Hilsenrath, O.D.
• Megan Yun-Shin Hilton
• Dora H Hilty, MD
• David William Himel, OD
• Hinde Newton Counseling, LLC

• Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.