NPIMap

Individual provider Active NPI

Cassidy Petri, PA-S

  • Physician Assistant
  • Greenwood Village, CO
National Provider Identifier
1205575099
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7100 E Belleview Ave Ste G10
Greenwood Village, CO 80111-1634
Phone
(303) 745-0000
Fax
(303) 773-3675
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 Primary

Addresses

Primary practice location

7100 E Belleview Ave Ste G10
Greenwood Village, CO 80111-1634

Mailing address

7100 E Belleview Ave Ste G10
Greenwood Village, CO 80111-1634
Phone (303) 745-0000

Other practice location 1

501 Arbutus Ave SE Apt B
Roanoke, VA 24014-1209
Phone (303) 335-8524

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
I20230403002222 CO Practitioner - Physician Assistant 3072988195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care and Pulmonary Consultants, P.C.Group PAC ID 7315851953, 151 clinicians

Practice addresses (Care Compare)

7100 E Belleview Ave
Suite G10
Greenwood Village, CO 80111-1634
Phone (303) 745-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
69.26
Improvement activities
40
Cost
69.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince May 15, 2024 Accepting new patients
Philippe G Lopez MD PC CurrentSince Jun 16, 2024 Accepting new patients
KND Development 59, LLC CurrentSince May 15, 2024 Accepting new patients

Locations

700 Potomac St
Fl 2
Aurora, CO 80011
Phone (319) 273-8992

5200 Dtc Pkwy
Ste 400
Greenwood Village, CO 80111
Phone (303) 745-0000

7100 E Belleview Ave
Ste G10
Greenwood Village, CO 80111
Phone (303) 745-0000

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1205575099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 E BELLEVIEW AVE STE G10",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111634",
            "telephone_number": "303-745-0000",
            "fax_number": "303-773-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 E BELLEVIEW AVE STE G10",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111634",
            "telephone_number": "303-745-0000",
            "fax_number": "303-773-3675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Arbutus Ave SE Apt B",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141209",
            "country_code": "US",
            "telephone_number": "303-335-8524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRI",
        "first_name": "CASSIDY",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.