NPIMap

Individual provider Active NPI

Eliska C Webster, PA-C

  • Physician Assistant
  • Estes Park, CO
National Provider Identifier
1144221029
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008283 Issued in CO
Practice address
131 Stanley Ave Ste 202
Estes Park, CO 80517-6356
Phone
(970) 586-2343
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15-00708 KS
Physician Assistant 363A00000X 2018017186 MO
Physician Assistant 363A00000X PA.0008283 CO Primary

Addresses

Primary practice location

131 Stanley Ave Ste 202
Estes Park, CO 80517-6356

Mailing address

100 NW Mock Ave Ste 200
Blue Springs, MO 64014-2500
Phone (816) 228-1000

Other practice location 1

1355 N West St
Wichita, KS 67203-1303
Phone (316) 942-0221 ext. 6

Other practice location 2

100 NW Mock Ave
Ste 200
Blue Springs, MO 64014
Phone (816) 228-1000

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
I20240122004649 CO Practitioner - Physician Assistant 8325007198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

131 Stanley Ave
Suite 202
Estes Park, CO 80517-6356
Phone (970) 586-2343

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-00708KSMDSpecialist
PA.0008283COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jan 2, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Specialist CurrentSince Jan 2, 2024 Accepting new patients
Kingman Health Clinic, P.a. Past Accepting new patients
Kingman Health Clinic, P.a. Past Accepting new patients

Locations

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

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

131 Stanley Ave
Ste 202
Estes Park, CO 80517
Phone (970) 586-2343

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1144221029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142500",
            "telephone_number": "816-228-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 STANLEY AVE STE 202",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805176356",
            "telephone_number": "970-586-2343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 N West St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672031303",
            "country_code": "US",
            "telephone_number": "316-942-0221 x6",
            "fax_number": "316-942-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 NW Mock Ave",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "64014",
            "country_code": "US",
            "telephone_number": "816-228-1000",
            "fax_number": "816-463-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "ELISKA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "15-00708",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2018017186",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

Verify at the official NPI Registry.