Individual provider Active NPI

Samantha Elizabeth Delnegro, PA-C

  • Physician Assistant
  • Vail, CO
National Provider Identifier
1063878809
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004659 Issued in CO
Practice address
181 W Meadow Dr
Ste 400
Vail, CO 81657-5058
Phone
(970) 476-1100
Fax
(970) 479-5835
NPI assigned
Jan 9, 2016
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0004659 CO Primary

Addresses

Primary practice location

181 W Meadow Dr
Ste 400
Vail, CO 81657-5058

Mailing address

181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone (970) 476-1100

Other practice location 1

180 S Frontage Rd W Ste 5800
Vail, CO 81657-5038
Phone (970) 926-6340

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
I20160729000164 CO Practitioner - Physician Assistant 7618260548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VVMC Diversified ServicesGroup PAC ID 8628145414, 16 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 476-2451

320 Beard Creek Rd
Suite 100
Edwards, CO 81632-6433
Phone (970) 476-1110

322 Beard Creek Rd
Suite 1300
Edwards, CO 81632-6433
Phone (970) 569-7656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.87 of 100Reported as group
Quality
58.69
Promoting interoperability
97
Improvement activities
40
Cost
70.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA4659COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VVMC Diversified Services CurrentSince Oct 20, 2024 Accepting new patients
VVMC Diversified Services CurrentSince Oct 20, 2024 Accepting new patients
VVMC Diversified Services Past Accepting new patients

Locations

322 Beard Creek Rd
Ste 1300
Edwards, CO 81632
Phone (970) 569-7656

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 476-8872

181 W Meadow Dr
Ste 400
Vail, CO 81657
Phone (970) 680-0795

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1063878809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR STE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575058",
            "telephone_number": "970-476-1100",
            "fax_number": "970-479-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "address_2": "STE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575058",
            "telephone_number": "970-476-1100",
            "fax_number": "970-479-5835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 S Frontage Rd W Ste 5800",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575038",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELNEGRO",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-09",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.