Miriam Christine Rollason, PA
Individual provider Active NPI Physician Assistant · Fort Defiance, AZ
NPI 1265049860 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1265049860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA.0006450 (CO)
- Practice address
- Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649 - Phone
- (928) 729-8000
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210120002690 | CO | Practitioner - Physician Assistant | 4486068111 | Reassigns benefits to 2 organizations |
| I20220201001959 | TX | Practitioner - Physician Assistant | 4486068111 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0006450 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Durango Urgent Care LLC | Current |
Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current |
Accepting new patients | |
| Usacs of Colorado Inc | Current |
Accepting new patients | |
| Usacs of Colorado Inc | Current |
Accepting new patients |
Locations
1942 E Main St
Cortez, CO 81321
Phone (970) 516-5500
2577 Main Ave
Durango, CO 81301
Phone (970) 247-8382
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA.0006450 | CO | Yes |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Other providers in Fort Defiance, AZ
- Frances A Robbins
- Vijeyakumari Roberts
- Gilberto Rocha
- Ana Maria Rodriguez
- Teresa Rodriguez
- Cynthia Cecilia Roque
- Michelle Rosario
- Ross N Dia
- David Lloyd Ross
- Evan M Ross
All providers in Fort Defiance, AZ · Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.