Active NPI
Duane Lee Fenton, PA-C
- Physician Assistant
- Grand Junction, CO
National Provider Identifier
1205979689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAL-2390
- Practice address
- 2373 G Rd Ste 100
Grand Junction, CO 81505 - Phone
- (970) 245-0484
- Fax
- (970) 241-1681
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAL-2390 | CO | Primary |
Addresses
Primary practice location
2373 G Rd Ste 100
Grand Junction, CO 81505
Mailing address
PO Box 2608
Grand Junction, CO 81502-2608
Phone (970) 263-2619
Other practice location 1
320 Alpenglow Ln
Livingston, MT 59047-8506
Phone (406) 222-3541
Other practice location 2
1830 Franklin St
Suite 450
Denver, CO 80218-1128
Phone (303) 321-1333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00638187 | Other | CO | RR MEDICARE PIN |
| 85629375 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2373 G Rd
Grand Junction, CO 81505-1003
Hospital & facility affiliations
- Community Hospital
- Family Health West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAL-2390 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado West Healthcare System | Current | Accepting new patients | |
| Community Medical Group, LLC | Past | Accepting new patients | |
| Grand Valley Orthopedics | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920
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.
-
- Specialist
- Grand Junction, CO
- NPI 1003319492
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- Specialist
- Grand Junction, CO
- NPI 1811398324
-
- Specialist
- Grand JCT, CO
- NPI 1265079545
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- Critical Access Hospital
- Fruita, CO
- NPI 1861496697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1205979689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2608",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815022608",
"telephone_number": "970-263-2619",
"fax_number": "970-263-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 G RD STE 100",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81505",
"telephone_number": "970-245-0484",
"fax_number": "970-241-1681"
}
],
"practiceLocations": [
{
"address_1": "320 Alpenglow Ln",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "MT",
"postal_code": "590478506",
"country_code": "US",
"telephone_number": "406-222-3541",
"fax_number": "406-823-6434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1830 Franklin St",
"address_2": "Suite 450",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802181128",
"country_code": "US",
"telephone_number": "303-321-1333",
"fax_number": "303-321-0620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENTON",
"first_name": "DUANE",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PAL-2390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00638187",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85629375",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.