NPIMap

Individual provider Active NPI

Karissa Hoeme, PA-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1144651696
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0004569 Issued in CO
Practice address
10700 E Geddes Ave Ste 100
Englewood, CO 80112-3861
Phone
(303) 750-8100
Fax
(303) 369-1891
NPI assigned
Dec 10, 2013
Last updated
Apr 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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 PA0004569 CO Primary

Addresses

Primary practice location

10700 E Geddes Ave Ste 100
Englewood, CO 80112-3861

Mailing address

10700 E Geddes Ave Ste 100
Englewood, CO 80112-3861
Phone (303) 750-8100

Other identifiers 1

IdentifierTypeStateIssuer
03250067MedicaidCO

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
I20160527000254 CO Practitioner - Physician Assistant 2466742754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10700 E Geddes Ave
Suite 100
Englewood, CO 80112-3861
Phone (303) 750-8100

7730 S Broadway
Summit View Surgery Center
Littleton, CO 80122-2602
Phone (303) 730-2376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.96 of 100Reported as group
Quality
0
Improvement activities
40
Cost
69.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0004569COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Surgery Center LLC CurrentSince Nov 1, 2018 Accepting new patients

Locations

10700 E Geddes Ave
Ste 100
Englewood, CO 80112
Phone (303) 341-4730

680 W 121st Ave
Ste 100
Westminster, CO 80234
Phone (303) 450-9970

Interoperability endpoints

  • Direct secure messaging: khoeme@coloradoclinic.mdlogic.direct-ci.com

Organizations & group practices 2

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 6

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1144651696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123861",
            "telephone_number": "303-750-8100",
            "fax_number": "303-369-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123861",
            "telephone_number": "303-750-8100",
            "fax_number": "303-369-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEME",
        "first_name": "KARISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0004569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03250067",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.