Individual provider Active NPI

Rebecca Elyse Niemeyer, PA-C

  • Medical Physician Assistant
  • Brighton, CO
National Provider Identifier
1275016503
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0005522 Issued in CO
Practice address
1606 Prairie Center Pkwy Ste 370
Brighton, CO 80601-4005
Phone
(720) 401-2139
Fax
(303) 469-4439
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 PA.0005522 CO Primary
Physician Assistant 363A00000X PA.0005522 CO

Addresses

Primary practice location

1606 Prairie Center Pkwy Ste 370
Brighton, CO 80601-4005

Mailing address

2760 29TH St Ste 2B
Boulder, CO 80301-1221
Phone (303) 444-6400

Other identifiers 2

IdentifierTypeStateIssuer
452188398OtherCOCOMMERCIAL INSURANCE PLANS
PA.0005522OtherCOSTATE LICENSE

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
I20181212002825 CO Practitioner - Physician Assistant 0840535241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Medical CenterGroup PAC ID 1557716016, 3 clinicians

Practice addresses (Care Compare)

2760 29TH St
Suite 2B
Boulder, CO 80301-1221
Phone (303) 444-6400

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
71.78
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005522COMDPhysician Assistant

Organizations & group practices 3

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1275016503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 29TH ST STE 2B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011221",
            "telephone_number": "303-444-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 PRAIRIE CENTER PKWY STE 370",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014005",
            "telephone_number": "720-401-2139",
            "fax_number": "303-469-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEYER",
        "first_name": "REBECCA",
        "middle_name": "ELYSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005522",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE PLANS",
            "identifier": "452188398",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA.0005522",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.