Active NPI
Rebecca Elyse Niemeyer, PA-C
- Medical Physician Assistant
- Brighton, CO
National Provider Identifier
1275016503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0005522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452188398 | Other | CO | COMMERCIAL INSURANCE PLANS |
| PA.0005522 | Other | CO | STATE 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0005522 | CO | MD | Physician 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.
-
dba Crossroads Medical Center LLC
- Family Medicine Physician
- Boulder, CO
- NPI 1164048161
-
dba Peak ENT and Voice Center
- Otolaryngology Physician
- Broomfield, CO
- NPI 1104113430
-
dba Rocky Mountain Ear, Nose & Throat, P.C.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Highlands Ranch, CO
- NPI 1376560375
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.