Individual provider Active NPI

Molly Schreiber, PA-C

  • Medical Physician Assistant
  • Woodland Park, CO
National Provider Identifier
1114492964
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0005592 Issued in CO
Practice address
16222 W US Highway 24 Ste 200
Woodland Park, CO 80863-8763
Phone
(719) 686-0878
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CO
Medical Physician Assistant 363AM0700X PA.0005592 CO Primary

Addresses

Primary practice location

16222 W US Highway 24 Ste 200
Woodland Park, CO 80863-8763

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4034

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
I20181129003228 CO Practitioner - Physician Assistant 3173867264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard Medical Specialists, LLCGroup PAC ID 9436209285, 23 clinicians

Practice addresses (Care Compare)

41 State Hwy 67
Unit B
Woodland Park, CO 80863-5009
Phone (719) 355-1585

6215 Corporate Dr
Suite 101
Colorado Springs, CO 80919-1917
Phone (719) 355-1585

9348 Grand Cordera Pkwy
Suite 160
Colorado Springs, CO 80924-7023
Phone (719) 355-1585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005592COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince Aug 31, 2023 Accepting new patients
Vanguard Medical Specialists LLC Dermatology Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 17, 2022 Accepting new patients
Vanguard Medical Specialists LLC Dermatology CurrentSince Aug 31, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 17, 2022 Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists, LLC Dermatology Past Accepting new patients

Locations

109 Latigo Ln
Ste F
Canon City, CO 81212

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1175 S Perry St
Ste 220
Castle Rock, CO 80104
Phone (303) 688-5025

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

6215 Corporate Dr
Ste 1O1
Colorado Springs, CO 80919

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 722-2542

13492 Bass Pro Dr
Ste 100
Colorado Springs, CO 80921

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

5700 N Elizabeth St
Ste 160
Pueblo, CO 81008

41 State Highway 67
Unit B
Woodland Park, CO 80863

16222 W US Highway 24
Ste 200
Woodland Park, CO 80863
Phone (719) 686-0878

Interoperability endpoints

  • Direct secure messaging: molly.schreiber.p1@direct.vanguardmed.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1114492964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 W US HIGHWAY 24 STE 200",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638763",
            "telephone_number": "719-686-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "MOLLY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

Verify at the official NPI Registry.