Individual provider Active NPI

Caitlin Delaney Poelking, PA-C

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1134596828
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005134 Issued in CO
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

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9000153459MedicaidCO
PA.0005134OtherCOCOLORADO 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101000017 CO Practitioner - Physician Assistant 2567738800 Reassigns benefits to 4 organizations

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
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

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

LicenseStateTypeSpecialty
PA.0005134COMDPhysician Assistant
C05841MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New West Physicians Inc Physician Assistant CurrentSince Jun 12, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
New West Physicians Inc CurrentSince Jun 12, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Apr 2, 2025 Accepting new patients
Family Care Center, LLC Physician Assistant CurrentSince Apr 2, 2025 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.

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

Verify at the official NPI Registry.