NPIMap

Individual provider Active NPI

Justin Frazier, PA

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1114679289
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2001 S Shields St Ste 101
Fort Collins, CO 80526-1827
Phone
(970) 297-6600
Fax
(970) 297-6601
NPI assigned
Jan 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 Primary

Addresses

Primary practice location

2001 S Shields St Ste 101
Fort Collins, CO 80526-1827

Mailing address

2001 S Shields St Ste 101
Fort Collins, CO 80526-1827
Phone (970) 297-6600

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
I20220408001791 CO Practitioner - Physician Assistant 0446646905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunrise Community HealthGroup PAC ID 0648164780, shared by 7 NPIs, 51 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1039 Main St
Unit G
Windsor, CO 80550-4847
Phone (970) 378-7740

2001 S Shields St
Fort Collins, CO 80526-1827
Phone (970) 493-5334

302 3Rd St SE
Suite 150
Loveland, CO 80537-6419
Phone (970) 669-4855

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Community Health CurrentSince Oct 31, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 21, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

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

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

2001 S Shields St
Ste E101
Fort Collins, CO 80526
Phone (970) 493-5334

2001 S Shields St
Ste 101
Fort Collins, CO 80526
Phone (970) 297-6600

1100 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 484-2850

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

2819 35th Ave
Greeley, CO 80634
Phone (970) 652-2801

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 313-2700

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2101 Main St
Longmont, CO 80501
Phone (720) 745-8020

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855

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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1114679289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-297-6600",
            "fax_number": "970-297-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-297-6600",
            "fax_number": "970-297-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JUSTIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.