Active NPI
Meghan E Bunnenberg, RPAC
- Physician Assistant
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013712
- Practice address
- 24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387 - Phone
- (303) 330-0410
- Fax
- (303) 330-0732
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- 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 | 013712 | NY | Primary |
Addresses
Primary practice location
24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387
Mailing address
1805 Shea Center Dr Ste 301
Highlands Ranch, CO 80129-2277
Phone (303) 330-0410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10120 E Dry Creek Rd
Suite 101
Englewood, CO 80112-2772
Phone (720) 738-1122
24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016-1387
Phone (303) 341-4411
9205 S Broadway
Highlands Ranch, CO 80129-5631
Phone (303) 330-0271
9695 S Yosemite St
Suite 150
Lone Tree, CO 80124-2891
Phone (720) 255-2350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013712 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Pahs Onpoint Urgent Care LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Pahs Onpoint Urgent Care LLC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients |
Locations
24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410
1151 Aloha St
Ste 200
Castle Rock, CO 80108
Phone (303) 357-2559
10120 E Dry Creek Rd
Ste 101
Englewood, CO 80112
Phone (303) 330-0410
9205 S Broadway
Highlands Ranch, CO 80129
Phone (303) 330-0271
1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559
9695 S Yosemite St
Ste 150
Lone Tree, CO 80124
Phone (303) 317-4878
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- meghan.bunnenberg.1@9821.direct.athenahealth.com
- meghan.bunnenberg.2@9821.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Highlands Ranch, CO
- NPI 1811555022
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Urgent Care Clinic/Center
- Castle Pines, CO
- NPI 1508483413
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Family Medicine Physician
- Denver, CO
- NPI 1760095939
-
- Urgent Care Clinic/Center
- Englewood, CO
- NPI 1023666005
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1225344948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 SHEA CENTER DR STE 301",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292277",
"telephone_number": "303-330-0410",
"fax_number": "303-330-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24300 E SMOKY HILL RD UNIT 120",
"city": "AURORA",
"state": "CO",
"postal_code": "800161387",
"telephone_number": "303-330-0410",
"fax_number": "303-330-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNNENBERG",
"first_name": "MEGHAN",
"middle_name": "E",
"credential": "RPAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.