Individual provider Active NPI

Meghan E Bunnenberg, RPAC

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1225344948
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013712 Issued in NY
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

Updated by the provider on Mar 8, 2022

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 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, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130826000330 NY Practitioner - Physician Assistant 9739363896 Reassigns benefits to 1 organization
I20210622000298 CO Practitioner - Physician Assistant 9739363896 Reassigns benefits to 3 organizations

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
Pahs Onpoint Urgent Care LLCGroup PAC ID 3476888363, 36 clinicians

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

LicenseStateTypeSpecialty
013712NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 21, 2021 Accepting new patients
Pahs Onpoint Urgent Care LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 21, 2021 Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Feb 15, 2022 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 20, 2018 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

  • Direct secure messaging: meghan.bunnenberg.1@9821.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.