Individual provider Active NPI

Dylan Allen Hartley, CAA

  • Anesthesiologist Assistant
  • Greenwood Village, CO
National Provider Identifier
1124491998
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
ANT.0000050 Issued in CO
Practice address
8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727
Phone
(303) 438-3999
Fax
(720) 439-9500
NPI assigned
Nov 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 152 WI
Anesthesiologist Assistant 367H00000X ANT.0000050 CO Primary

Addresses

Primary practice location

8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727

Mailing address

PO Box 840862
Dallas, TX 75284-5429
Phone (303) 377-7638

Other practice location 1

1836 South Ave
LA Crosse, WI 54601-5429
Phone (086) 782-7300

Other practice location 2

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Other practice location 3

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 761-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160308001183 CO Practitioner - Anesthesiology Assistant 7113223793 Reassigns benefits to 2 organizations
I20200601001136 WI Practitioner - Anesthesiology Assistant 7113223793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 761-3200

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
152WIMDBehavioral Analyst
ANT.0000050COMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Anesthesiologist Assistant CurrentSince Sep 15, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jun 1, 2020 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Gundersen Clinic LTD CurrentSince Jun 1, 2020 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 1, 2020 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
US Anesthesia Partners of Kansas PA PastSince Jun 16, 2024 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1010 Three Springs Blvd
Durango, CO 81301
Phone (970) 247-4311

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 785-4700

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

Organizations & group practices 11

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 4

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1124491998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840862",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845429",
            "telephone_number": "303-377-7638",
            "fax_number": "720-439-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E MAPLEWOOD AVE STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114727",
            "telephone_number": "303-438-3999",
            "fax_number": "720-439-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "086-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Three Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-761-3200",
            "fax_number": "970-764-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "DYLAN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "WI",
            "license": "152",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "CO",
            "license": "ANT.0000050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.