Natasha Ellwood, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3850 Issued in CO

Practice address

123 Emma Rd
Basalt, CO 81621-9169

Phone

(970) 945-2840

Fax

(970) 945-2893

NPI assigned

Nov 5, 2013

Last updated

Jun 7, 2022By 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

Other identifiers 1

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

Mid West Medical College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Family Health CentersGroup PAC ID 3173413101, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: natasha.ellwood.p1@direct.mfhc.nextgenshare.com

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.

• Mountain Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Glenwood Springs, CO
  • NPI 1477552388
  Medicare reassignment Care Compare group
• Mountain Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Basalt, CO
  • NPI 1548569924
  NPD

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

• Valley View Hospital Association

  dba Valley View Surgery Center at Basalt

  • Ambulatory Surgical Clinic/Center
  • Basalt, CO
  • NPI 1649885849

  Hospital

  Care Compare affiliation
• Valley View Hospital Association

  • General Acute Care Hospital
  • Glenwood Springs, CO
  • NPI 1982668133
  Care Compare affiliation

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1205265774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 101",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014206",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EMMA RD",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219169",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLWOOD",
        "first_name": "NATASHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3850",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "840793217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63970236",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Albert Ding, DDS, MS
• Ericka Dries, LCSW
• Monica Carlsson Ebaugh, PHD
• Elevate Dental Wellness, PC
• Elk Family Recovery
• Essential Body Care
• Extreme Sports Camp
• Craig Farnum
• Amanda Danielle Smith Fierstein
• David N Fishman, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.