Individual provider Active NPI

A'Lanne J Conrad, PA-C

  • Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1245635127
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004695 Issued in CO
Practice address
2373 G Rd
Ste 100
Grand Junction, CO 81505-1003
Phone
(720) 272-7707
NPI assigned
Nov 4, 2014
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0004695 CO Primary
Medical Physician Assistant 363AM0700X PA.0004695 CO
Surgical Physician Assistant 363AS0400X PA.0004695 CO

Addresses

Primary practice location

2373 G Rd
Ste 100
Grand Junction, CO 81505-1003

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 263-2619

Other practice location 1

1060 Orchard Ave Unit N
Grand Junction, CO 81501
Phone (970) 644-3740

Other practice location 2

2020 N 12th St
Grand Junction, CO 81501-2914
Phone (970) 644-4220

Other practice location 3

1060 Orchard Ave Unit O
Grand Junction, CO 81501-2997
Phone (970) 644-3755

Other practice location 4

603 28 1/4 Rd
Grand Junction, CO 81506-6019
Phone (970) 263-2600

Other practice location 5

1060 Orchard Ave Unit N
Grand Junction, CO 81501-2997
Phone (970) 644-3740

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
I20160827000034 CO Practitioner - Physician Assistant 9931494143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians
Grand Valley OrthopedicsGroup PAC ID 8820353964, 27 clinicians

Practice addresses (Care Compare)

1060 Orchard Ave
Grand Junction, CO 81501-2997
Phone (970) 644-3740

2373 G Rd
Grand Junction, CO 81505-1003

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0004695COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley Orthopedics CurrentSince Jul 1, 2018 Accepting new patients
Grand Valley Orthopedics CurrentSince Jul 1, 2018 Accepting new patients
Community Medical Group, LLC CurrentSince Jan 11, 2020 Accepting new patients
Community Medical Group, LLC CurrentSince Jan 11, 2020 Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

2020 N 12th St
Grand Junction, CO 81501
Phone (970) 245-0484

2373 G Rd
Ste 100
Grand Junction, CO 81505
Phone (970) 245-0484

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 644-4300

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

Organizations & group practices 5

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 1

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1245635127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-263-2619",
            "fax_number": "970-263-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "STE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051003",
            "telephone_number": "720-272-7707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Orchard Ave Unit N",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "81501",
            "country_code": "US",
            "telephone_number": "970-644-3740",
            "fax_number": "970-644-3763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012914",
            "country_code": "US",
            "telephone_number": "970-644-4220",
            "fax_number": "970-263-4239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Orchard Ave Unit O",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012997",
            "country_code": "US",
            "telephone_number": "970-644-3755",
            "fax_number": "970-644-3764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 28 1/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815066019",
            "country_code": "US",
            "telephone_number": "970-263-2600",
            "fax_number": "970-263-2692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Orchard Ave Unit N",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012997",
            "country_code": "US",
            "telephone_number": "970-644-3740",
            "fax_number": "970-644-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "A'LANNE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004695",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0004695",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0004695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.