Stephanie Gomolka, PA

Individual provider Active NPI Physician Assistant · Conifer, CO

NPI 1295236677 · NPPES record last updated Sep 3, 2026

Key facts

NPI
1295236677
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA.0005273 (CO)
Practice address
26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone
(303) 647-5300
Fax
(877) 892-7288
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afterours Inc (24 clinicians)
Conifer Medical Center, PC (16 clinicians)

Practice addresses (Care Compare)

101 W Mineral Ave
Suite 105
Littleton, CO 80120-4500
Phone (303) 861-7878

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

6895 E Hampden Ave
Denver, CO 80224-3047
Phone (303) 861-7878

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200115000308 CO Practitioner - Physician Assistant 1951736263 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005273COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Afterours Inc Current
since Mar 28, 2020
Accepting new patients
Nutrition Center of Colorado, LLC Past Accepting new patients
Conifer Medical Center, PC Past Accepting new patients
Afterours Inc Past Accepting new patients

Locations

6895 E Hampden Ave
Denver, CO 80224
Phone (303) 861-7878

Interoperability endpoints

  • Direct secure messaging: stephanie.gomolka@cmcp.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005273 CO Yes

Addresses

Primary practice location

26659 Pleasant Park Rd
Conifer, CO 80433-7768

Mailing address

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

Other providers in Conifer, CO

All providers in Conifer, CO · Physician Assistant in Colorado

Sources for this page

Verify at the official NPI Registry.