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
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
Conifer Medical Center, PC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200115000308 | CO | Practitioner - Physician Assistant | 1951736263 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0005273 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afterours Inc | Current |
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
- stephanie.gomolka@cmcp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Correna Genders
- Jeanne Zafft Gibson
- Robert Douglas Gibson
- Clare Nicole Goldkamp
- William Goldstein
- Carla Gorrell
- Timothy Jordan Gotshall
- Scott Grove
- Havens Ann Guenthner
- Oya Gulum
All providers in Conifer, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.