Active NPI
Holly Lynn Saracco, PA-C
- Physician Assistant
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3080
- Practice address
- 4715 Arapahoe Avenue
Boulder, CO 80303 - Phone
- (303) 385-2000
- Fax
- (303) 444-1839
- NPI assigned
- Apr 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20218 | CA | |
| Physician Assistant | 363A00000X | 3080 | CO | Primary |
Addresses
Primary practice location
4715 Arapahoe Avenue
Boulder, CO 80303
Mailing address
7951 E. Maplewood Avenue Suite 300
Greenwood Village, CO 80111
Phone (303) 930-7800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11750 W 2ND Place
Suite 150
Lakewood, CO 80228-1724
Phone (303) 763-4020
3027 N Circle Dr
Colorado Springs, CO 80909-1179
Phone (719) 577-2555
4715 Arapahoe Ave
Boulder, CO 80303-1385
Phone (303) 385-2000
8820 Huron St
Thornton, CO 80260-6805
Phone (303) 386-7622
Hospital & facility affiliations
- Boulder Community Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20218 | CA | MD | Acupuncturist |
| PA20218 | CA | MD | Physician Assistant |
| 3080 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Cancer Centers, LLP | Current | Accepting new patients | |
| Rocky Mountain Cancer Centers LLP | Physician Assistant | Past | Accepting new patients |
| Khalid Chowdhury MD, PC | Past | Accepting new patients |
Locations
4715 Arapahoe Ave
Boulder, CO 80303
Phone (303) 385-2000
3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555
1601 E 19th Ave
Ste 3000
Denver, CO 80218
Phone (303) 388-4876
7951 E Maplewood Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 930-7800
Interoperability endpoints
- holly.saracco@rmcc.ikm.direct-ci.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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Greenwood Village, CO
- NPI 1518941186
Physician Assistant
-
- Hematology & Oncology Physician
- Longmont, CO
- NPI 1538762760
-
- Facial Plastic Surgery Physician
- Denver, CO
- NPI 1457502940
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1114243979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 E. MAPLEWOOD AVENUE SUITE 300",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "80111",
"telephone_number": "303-930-7800",
"fax_number": "303-930-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 ARAPAHOE AVENUE",
"city": "BOULDER",
"state": "CO",
"postal_code": "80303",
"telephone_number": "303-385-2000",
"fax_number": "303-444-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARACCO",
"first_name": "HOLLY",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20218",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "3080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.