NPIMap

Individual provider Active NPI

Stacey Jill Staudinger, PA-C

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1164512471
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-2271 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Oct 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-2271 CO Primary
Physician Assistant 363A00000X PA-2271 CO

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

12401 E 17th Ave
Leprino Building 4th Floor, Mailstop F-782
Aurora, CO 80045-2548
Phone (720) 848-7203

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
I20070108000300 CO Practitioner - Physician Assistant 6002816527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Colorado Hospital AuthorityGroup PAC ID 1052223724, 17 clinicians
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12401 E 17TH Ave
F417
Aurora, CO 80045-2589

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

1693 Quentin St
Aurora, CO 80045-2518
Phone (720) 848-3037

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-2271COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Emergency Services, Inc CurrentSince Apr 1, 2015 Accepting new patients
University Physicians, Incorporated CurrentSince Jul 14, 2024 Accepting new patients
University Physicians Incorporated CurrentSince Jul 14, 2024 Accepting new patients
University of Colorado Hospital Authority CurrentSince May 3, 2024 Accepting new patients
University of Colorado Hospital Authority CurrentSince May 3, 2024 Accepting new patients
Apex Emergency Group, Inc Past Accepting new patients
University Physicians Incorporated Physician Assistant Past Accepting new patients
Olathe Health Physicians, Inc. Past Accepting new patients

Locations

12401 E 17th Ave
Ste F782
Aurora, CO 80045
Phone (720) 848-4289

1665 Aurora Ct
Fl 2
Aurora, CO 80045
Phone (303) 724-2066

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

7901 E Lowry Blvd
Ste 3
Denver, CO 80230

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

7403 Church Ranch Blvd
Westminster, CO 80021
Phone (720) 848-9400

Organizations & group practices 9

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1164512471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12401 E 17th Ave",
            "address_2": "Leprino Building 4th Floor, Mailstop F-782",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452548",
            "country_code": "US",
            "telephone_number": "720-848-7203",
            "fax_number": "720-848-4293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUDINGER",
        "first_name": "STACEY",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA-2271",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-2271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.