Active NPI
Caitlin Delaney Poelking, PA-C
- Physician Assistant
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0005134
- Practice address
- 3351 Eastbrook Dr Ste 200
Fort Collins, CO 80525-5744 - Phone
- (970) 500-0164
- NPI assigned
- Aug 28, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C05841 | MD | |
| Medical Physician Assistant | 363AM0700X | CO | ||
| Physician Assistant | 363A00000X | PA.0005134 | CO | Primary |
Addresses
Primary practice location
3351 Eastbrook Dr Ste 200
Fort Collins, CO 80525-5744
Mailing address
2614 Avenger PL Unit 3
Fort Collins, CO 80524-4907
Phone (301) 275-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000153459 | Medicaid | CO | |
| PA.0005134 | Other | CO | COLORADO STATE LICENSE |
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
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)
2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100
3351 Eastbrook Dr
Suite 200
Fort Collins, CO 80525-5744
Phone (888) 374-5066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0005134 | CO | MD | Physician Assistant |
| C05841 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New West Physicians Inc | Physician Assistant | Current | Accepting new patients |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| New West Physicians Inc | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Family Care Center, LLC | Current | Accepting new patients | |
| Family Care Center, LLC | Physician Assistant | Current | Accepting new patients |
| Optumcare Colorado Medical Group LLC | Past | Accepting new patients |
Locations
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900
3351 Eastbrook Dr
Ste 200
Fort Collins, CO 80525
Phone (970) 500-0164
1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013
3320 W Eisenhower Blvd
Loveland, CO 80537
Phone (970) 669-2849
Organizations & group practices 8
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1134596828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 AVENGER PL UNIT 3",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244907",
"telephone_number": "301-275-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 EASTBROOK DR STE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255744",
"telephone_number": "970-500-0164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POELKING",
"first_name": "CAITLIN",
"middle_name": "DELANEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C05841",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0005134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000153459",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO STATE LICENSE",
"identifier": "PA.0005134",
"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 May 7, 2025; 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.