Individual provider Active NPI

Annette Laura Whitescarver, PA-C

  • Physician Assistant
  • Littleton, CO
National Provider Identifier
1285977017
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3509 Issued in CO
Practice address
6169 S Balsam Way
Suite # 250
Littleton, CO 80123-3062
Phone
(303) 933-4555
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3509 CO Primary

Addresses

Primary practice location

6169 S Balsam Way
Suite # 250
Littleton, CO 80123-3062

Mailing address

6169 S Balsam Way
Suite # 250
Littleton, CO 80123-3062
Phone (303) 933-4555

Other names 1

  • Annette Laura Schieber Former name

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
I20130613000483 CO Practitioner - Physician Assistant 0446499974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Southwest, P.C.Group PAC ID 2062404510, 6 clinicians

Practice addresses (Care Compare)

6169 S Balsam Way
Suite 250
Littleton, CO 80123-3063
Phone (303) 933-4555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3509COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Center for Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1285977017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 S BALSAM WAY",
            "address_2": "SUITE # 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233062",
            "telephone_number": "303-933-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S BALSAM WAY",
            "address_2": "SUITE # 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233062",
            "telephone_number": "303-933-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESCARVER",
        "first_name": "ANNETTE",
        "middle_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "SCHIEBER",
            "middle_name": "LAURA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.