Active NPI
Emily Jeanne Havener Billstein, PA-C
- Physician Assistant
- Durango, CO
National Provider Identifier
1174906754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004297
- Practice address
- 1 Mercado St
Ste 202
Durango, CO 81301-7306 - Phone
- (970) 247-5362
- Fax
- (970) 259-6045
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2015-0033 | NM | |
| Physician Assistant | 363A00000X | PA.0004297 | CO | Primary |
Addresses
Primary practice location
1 Mercado St
Ste 202
Durango, CO 81301-7306
Mailing address
1 Mercado St
Ste 202
Durango, CO 81301-7306
Phone (970) 247-5362
Other names 1
- Emily J Havener
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
21 Hospital Dr
Suite 110
Palm Coast, FL 32164-2453
Phone (386) 586-1910
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Hospital & facility affiliations
- Bravery Home Healthcare
- AdventHealth Palm Coast
- Adventhealth Daytona Beach
- Adventhealth Palm Coast Parkway
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004297 | CO | MD | Physician Assistant |
| PA2015-0033 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Flagler Inc. | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients |
Locations
120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Networks
- Freedom Health HMO Network
Interoperability endpoints
- ebillstein71378@adventhealth.direct-ci.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Multi-Specialty Clinic/Center
- Palm Coast, FL
- NPI 1558530600
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- Home Health Agency
- Saint Augustine, FL
- NPI 1619742657
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1174906754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"address_2": "STE 202",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017306",
"telephone_number": "970-247-5362",
"fax_number": "970-259-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"address_2": "STE 202",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017306",
"telephone_number": "970-247-5362",
"fax_number": "970-259-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLSTEIN",
"first_name": "EMILY",
"middle_name": "JEANNE HAVENER",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2015-0033",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "HAVENER",
"middle_name": "J",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.