NPIMap

Individual provider Active NPI

Abbie Lane Steinbrueck, PA-C

  • Physician Assistant
  • Tabernash, CO
National Provider Identifier
1104373497
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
General Delivery
Tabernash, CO 80478-9999
Phone
(303) 908-1002
NPI assigned
Sep 5, 2016
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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 CO Primary

Addresses

Primary practice location

General Delivery
Tabernash, CO 80478-9999

Mailing address

General Delivery
Tabernash, CO 80478-9999
Phone (303) 908-1002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asteinbrueck287023@directe.centura.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001571 CO Practitioner - Physician Assistant 3476834912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 S 4TH St
Kremmling, CO 80459-0399
Phone (970) 724-3442

400 Grand Ave
Kremmling, CO 80459-0399
Phone (970) 724-3524

P O Box
Suite 399
Kremmling, CO 80459-0399

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.61 of 100Reported as group
Quality
76.83
Promoting interoperability
100
Improvement activities
40
Cost
35.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kremmling Memorial Hospital District CurrentSince Nov 1, 2016 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Nov 1, 2016 Accepting new patients

Locations

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

Interoperability endpoints

  • Direct secure messaging: asteinbrueck287023@directe.centura.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1104373497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GENERAL DELIVERY",
            "city": "TABERNASH",
            "state": "CO",
            "postal_code": "804789999",
            "telephone_number": "303-908-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GENERAL DELIVERY",
            "city": "TABERNASH",
            "state": "CO",
            "postal_code": "804789999",
            "telephone_number": "303-908-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBRUECK",
        "first_name": "ABBIE",
        "middle_name": "LANE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asteinbrueck287023@directe.centura.org",
            "affiliation": "N",
            "endpointDescription": "ASTEINBRUECK MIDDLE PARK HEALTH DIRECT EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "214 S 4th St",
            "city": "Kremmling",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tabernash, CO

Sources for this page

Verify at the official NPI Registry.