Individual provider Active NPI

Mariah Maas

  • Physician Assistant
  • Northglenn, CO
National Provider Identifier
1215633664
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007782 Issued in CO
Practice address
11900 Grant St # 220
Northglenn, CO 80233-1117
Phone
(303) 673-1420
NPI assigned
Feb 6, 2023
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 PA.0007782 CO Primary

Addresses

Primary practice location

11900 Grant St # 220
Northglenn, CO 80233-1117

Mailing address

11900 Grant St # 220
Northglenn, CO 80233-1117
Phone (303) 673-1420

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727002501 CO Practitioner - Physician Assistant 1951762657 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
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

11900 Grant St
Northglenn, CO 80233-1117

13421 Quebec St
Thornton, CO 80602-8647
Phone (303) 272-0500

1610 Prairie Ctr Pkwy
Suite 2200
Brighton, CO 80601-4008
Phone (303) 498-1885

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0007782COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 13, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 13, 2023 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Dec 29, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients
Integrative Internal Medicine and Medical Acupuncture Inc Past Accepting new patients
Mountain View Orthopedics Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

11900 Grant St
Ste 220
Northglenn, CO 80233
Phone (303) 318-2112

13421 Quebec St
Thornton, CO 80602
Phone (303) 498-2850

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1215633664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 GRANT ST # 220",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331117",
            "telephone_number": "303-673-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 GRANT ST # 220",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331117",
            "telephone_number": "303-673-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAS",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.