Individual provider Active NPI

Karen L Wilder, P-AC

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1144324500
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3290 Issued in CO
Practice address
1601 E 19TH Ave Ste 5050
Denver, CO 80218-1200
Phone
(720) 754-2155
Fax
(720) 754-2106
NPI assigned
Sep 7, 2006
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3290 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 5050
Denver, CO 80218-1200

Mailing address

1601 E 19TH Ave
Suite 4300
Denver, CO 80218-1216
Phone (303) 861-4845

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
I20120203000030 CO Practitioner - Physician Assistant 8820982986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Medical Specialties LLCGroup PAC ID 1850480807, 20 clinicians
Healthone Clinic Services-Surgical Specialties LLCGroup PAC ID 2365537768, 42 clinicians

Practice addresses (Care Compare)

1601 E 19TH Ave
Suite 5050
Denver, CO 80218-1200
Phone (720) 754-2155

1719 E 19TH Ave
Denver, CO 80218-1235
Phone (720) 754-2155

4600 Hale Pkwy
Suite 490
Denver, CO 80220-4013
Phone (303) 329-7876

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 750-4933

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3290COMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karen.wilder@psl.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1144324500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 4300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-861-4845",
            "fax_number": "303-861-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 5050",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181200",
            "telephone_number": "720-754-2155",
            "fax_number": "720-754-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.