Tessa Fain, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008767 Issued in CO

Practice address

523 S Camino del Rio Ste B
Durango, CO 81303-6853

Phone

(970) 247-1970

NPI assigned

Mar 19, 2024

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Durango Dermatology and Dermatologic Surgery LLCGroup PAC ID 1153375902, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Durango Dermatology and Dermatologic Surgery LLC

  • Dermatology Physician
  • Durango, CO
  • NPI 1497811160
  Medicare reassignment Care Compare group
• Durango Dermatology and Dermatologic Surgery LLC

  • Dermatology Physician
  • Durango, CO
  • NPI 1457260820
  NPD (past)

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1184484123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S CAMINO DEL RIO STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036853",
            "telephone_number": "970-247-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S CAMINO DEL RIO STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036853",
            "telephone_number": "970-247-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIN",
        "first_name": "TESSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008767",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Evinrude, RPH
• Ashleigh Ewing
• Expedient Medical Service
• Eye Care for Durango, LLC
• Agnes Marie Eytchison, FNP
• Mark David Fallon-Cyr, MD
• Maureen Fallon-Cyr, MSW
• Tracy Farmer
• Geoffrey Strider Farnsworth, M.D.
• Patricia B Faulkner, SLP

• Physician Assistant in Durango, CO
• Providers in Durango, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.

Verify at the official NPI Registry.