NPIMap

Individual provider Active NPI

Katherine M. Weisenborn, P.A.-C.

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1295031714
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0003838 Issued in CO
Practice address
9005 Grant St
Suite 200
Thornton, CO 80229-4300
Phone
(303) 287-2800
Fax
(303) 287-7357
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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 PA2010-0079 NM
Physician Assistant 363A00000X PA0003838 CO Primary

Addresses

Primary practice location

9005 Grant St
Suite 200
Thornton, CO 80229-4300

Mailing address

9005 Grant St
Suite 200
Thornton, CO 80229-4300
Phone (303) 287-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417000830 CO Practitioner - Physician Assistant 9032389036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Center for Spine and Orthopedics IncGroup PAC ID 1951292119, 29 clinicians

Practice addresses (Care Compare)

4617 W 20TH St
Greeley, CO 80634-3207
Phone (970) 352-9022

9005 Grant St
Thornton, CO 80229-4384
Phone (303) 287-2800

Hospital & facility affiliations

  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • St Elizabeth Hospital Hospital, Fort Morgan, CO, CCN 060044
  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103

Merit-based Incentive Payment System (MIPS)

Final score
50.3 of 100Reported as group
Quality
51.03
Promoting interoperability
0
Improvement activities
30
Cost
72.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0003838COMDPhysician Assistant
PA2010-0079NMMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: katherine.weisenborn.1@9093.direct.athenahealth.com
  • Direct secure messaging: kateweisenborn@hfpc.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1295031714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 GRANT ST",
            "address_2": "SUITE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294300",
            "telephone_number": "303-287-2800",
            "fax_number": "303-287-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 GRANT ST",
            "address_2": "SUITE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294300",
            "telephone_number": "303-287-2800",
            "fax_number": "303-287-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBORN",
        "first_name": "KATHERINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2010-0079",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0003838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.