Individual provider Active NPI

Georgia W Wiener, PA-C

  • Physician Assistant
  • Frisco, CO
National Provider Identifier
1174069108
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004893 Issued in CO
Practice address
360 Peak One Dr Ste 180
Frisco, CO 80443-5948
Phone
(970) 668-3633
Fax
(970) 668-4406
NPI assigned
Jan 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 PA.0004893 CO Primary

Addresses

Primary practice location

360 Peak One Dr Ste 180
Frisco, CO 80443-5948

Mailing address

2472 Patterson Rd Unit 8
Grand Junction, CO 81505-1100
Phone (970) 241-0202

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
I20170405001071 CO Practitioner - Physician Assistant 9234415225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vail-Summit Orthopaedics PCGroup PAC ID 4688564461, 32 clinicians

Practice addresses (Care Compare)

360 Peak One Dr
Suite 180
Frisco, CO 80443-5948
Phone (970) 668-3633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0004893COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vail-Summit Orthopaedics PC CurrentSince Aug 3, 2020 Accepting new patients
Vail Summit Orthopaedics CurrentSince Aug 3, 2020 Accepting new patients
Vail-Summit Orthopaedics PC Past Accepting new patients

Locations

360 Peak One Dr
#180
Frisco, CO 80443
Phone (970) 668-3633

360 Peak One Dr
Ste 180
Frisco, CO 80443
Phone (970) 368-5945

2472 Patterson Rd
Unit 8
Grand Junction, CO 81505

180 S Frontage Rd W
Ste 2700
Vail, CO 81657
Phone (970) 476-7220

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 and National Provider Directory roles.

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": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1174069108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 PATTERSON RD UNIT 8",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051100",
            "telephone_number": "970-241-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR STE 180",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-668-3633",
            "fax_number": "970-668-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "GEORGIA",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-14",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.