Individual provider Active NPI

Lisa Christine Kilpatrick, PA-C

  • Physician Assistant
  • Broomfield, CO
National Provider Identifier
1245304252
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3140 Issued in CO
Practice address
340 E 1St Ave Ste 102
Broomfield, CO 80020-2454
Phone
(720) 798-0170
Fax
(303) 862-7102
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2006 0041 NM
Physician Assistant 363A00000X 3140 CO Primary

Addresses

Primary practice location

340 E 1St Ave Ste 102
Broomfield, CO 80020-2454

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 357-2559

Other practice location 1

7950 Kipling St Ste 101
Arvada, CO 80005-3925
Phone (303) 425-4680

Other identifiers 1

IdentifierTypeStateIssuer
74428578MedicaidNM

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
I20150316001897 CO Practitioner - Physician Assistant 4587665906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of New Mexico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onpoint Medical Group LLCGroup PAC ID 0143598458, 93 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

340 E 1St Ave
Suite 102
Broomfield, CO 80020-2454
Phone (303) 357-2559

7335 S Pierce St
Columbine Family Practice
Littleton, CO 80128-4571
Phone (303) 979-7200

8601 Turnpike Dr
Westminster, CO 80031-7043
Phone (303) 222-4312

Merit-based Incentive Payment System (MIPS)

Final score
60.74 of 100Reported as group
Quality
77.46
Promoting interoperability
0
Improvement activities
40
Cost
75.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3140COMDPhysician Assistant
PA2006 0041NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

340 E 1st Ave
Ste 102
Broomfield, CO 80020
Phone (303) 469-3182

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

Interoperability endpoints

  • Direct secure messaging: lisa.kilpatrick.1@9821.direct.athenahealth.com

Organizations & group practices 7

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1245304252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559",
            "fax_number": "303-862-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE STE 102",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202454",
            "telephone_number": "720-798-0170",
            "fax_number": "303-862-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 Kipling St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800053925",
            "country_code": "US",
            "telephone_number": "303-425-4680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2006 0041",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74428578",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.