Individual provider Active NPI

Bianca Mikaela Irizarry, PA-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1114617560
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007916 Issued in CO
Practice address
5102 S Broadway
Englewood, CO 80113-6706
Phone
(720) 457-9100
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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.0007916 CO Primary

Addresses

Primary practice location

5102 S Broadway
Englewood, CO 80113-6706

Mailing address

3481 S Fenton St Apt A106
Denver, CO 80227-5518
Phone (386) 292-6861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230706000099 CO Practitioner - Physician Assistant 9133588379 Reassigns benefits to 2 organizations
I20240610003782 FL Practitioner - Physician Assistant 9133588379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians
Mile High Urgent Care PLLCGroup PAC ID 4981019965, 24 clinicians

Practice addresses (Care Compare)

1730 Pat Thomas Pkwy
Quincy, FL 32351-8681
Phone (850) 662-0041

9985 W Remington PL
Littleton, CO 80128-9283
Phone (720) 818-8010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0007916COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Apr 30, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Jun 1, 2023 Accepting new patients
Family Care Center, LLC Physician Assistant CurrentSince Jun 1, 2023 Accepting new patients
Mile High Urgent Care PLLC CurrentSince Jan 1, 2026 Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 13, 2025 Accepting new patients
Rural Urgent Care LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 30, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

901 W Hampden Ave
Unit 103
Englewood, CO 80110
Phone (303) 761-1699

5102 S Broadway
Englewood, CO 80113
Phone (720) 457-9100

9985 W Remington Pl
Littleton, CO 80128
Phone (720) 818-8010

2264 NW 43rd St
Gainesville, FL 32605
Phone (352) 642-8258

1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1114617560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 S FENTON ST APT A106",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802275518",
            "telephone_number": "386-292-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801136706",
            "telephone_number": "720-457-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "BIANCA",
        "middle_name": "MIKAELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.