Active NPI
Caitlyn Murphy Davis, PA-C
- Physician Assistant
- Fort Collins, CO
National Provider Identifier
1134592280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4469
- Practice address
- 1635 Blue Spruce Dr
Fort Collins, CO 80524-5427 - Phone
- (970) 494-4040
- NPI assigned
- Nov 10, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4469 | CO | Primary |
Addresses
Primary practice location
1635 Blue Spruce Dr
Fort Collins, CO 80524-5427
Mailing address
1635 Blue Spruce Dr
Fort Collins, CO 80524-5427
Phone (970) 494-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68780052 | Medicaid | CO |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151229002686 | CO | Practitioner - Physician Assistant | 7810299302 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 Blue Spruce Dr
Fort Collins, CO 80524-5427
Phone (970) 494-4040
Hospital & facility affiliations
- Poudre Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4469 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Family Health | Current | Accepting new patients | |
| Salud Family Health | Current | Accepting new patients | |
| Salud Family Health | Past | Accepting new patients | |
| Salud Family Health | Past | Accepting new patients | |
| Salud Family Health | Past | Accepting new patients |
Locations
1635 Blue Spruce Dr
Fort Collins, CO 80524
Phone (970) 494-4040
203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560
5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050
Interoperability endpoints
- caitlyn.davis@sfhc.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Fort Morgan, CO
- NPI 1740947407
-
- Federally Qualified Health Center (FQHC)
- Aurora, CO
- NPI 1134766553
-
- Federally Qualified Health Center (FQHC)
- Fort Lupton, CO
- NPI 1386777266
-
- Federally Qualified Health Center (FQHC)
- Frederick, CO
- NPI 1972636504
Hospital & facility affiliations 15
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": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1134592280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 BLUE SPRUCE DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805245427",
"telephone_number": "970-494-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 BLUE SPRUCE DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805245427",
"telephone_number": "970-494-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CAITLYN",
"middle_name": "MURPHY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "4469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68780052",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.