Individual provider Active NPI

Sydney Ann Weller, PA-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1215824321
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0009185 Issued in CO
Practice address
3601 S Clarkson St Ste 100
Englewood, CO 80113-3945
Phone
(720) 833-0400
NPI assigned
Jun 20, 2025
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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 0009185 CO Primary

Addresses

Primary practice location

3601 S Clarkson St Ste 100
Englewood, CO 80113-3945

Mailing address

3601 S Clarkson St Ste 100
Englewood, CO 80113-3945
Phone (720) 833-0400

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
I20260331000346 CO Practitioner - Physician Assistant 4486139227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15101 E Iliff Ave
Suite 140
Aurora, CO 80014-4543

15101 E Iliff Ave
Suite 140
Aurora, CO 80014-4548

2224 S Fraser St
Unit 1
Aurora, CO 80014-4532

6960 E Girard Ave
Apt 207
Denver, CO 80224-2913

7200 E Dry Creek Rd
F103
Centennial, CO 80112-2571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009185COMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: sydney.weller.1@10957.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1215824321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133945",
            "telephone_number": "720-833-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133945",
            "telephone_number": "720-833-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "SYDNEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0009185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.