Individual provider Active NPI

Katelyn Feczko

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1295384766
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1120 E Elizabeth St Ste 2
Fort Collins, CO 80524-4044
Phone
(970) 493-9193
NPI assigned
Sep 8, 2019
Last updated
Sep 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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 Primary

Addresses

Primary practice location

1120 E Elizabeth St Ste 2
Fort Collins, CO 80524-4044

Mailing address

337 N Shields St
Fort Collins, CO 80521-1867

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
I20220223002188 CO Practitioner - Physician Assistant 9335533082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Clinics LLCGroup PAC ID 5597136218, 49 clinicians

Practice addresses (Care Compare)

702 W Drake Rd
Suite D
Fort Collins, CO 80526-5563
Phone (970) 493-9193

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Clinics, LLC CurrentSince Dec 16, 2022 Accepting new patients
Rocky Mountain Clinics LLC CurrentSince Dec 16, 2022 Accepting new patients
Front Range Clinic Inc. PastSince Dec 22, 2020 Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Premier Pain Management LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics, LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients

Locations (25 of 29)

3324 Clark St
Alamosa, CO 81101

8725 Wadsworth Blvd
Ste C
Arvada, CO 80003

2224 S Fraser St
Unit 3
Aurora, CO 80014
Phone (720) 484-4428

4720 Table Mesa Dr
Ste B100
Boulder, CO 80305
Phone (720) 476-7957

1861 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 419-7735

7190 Colorado Blvd
Ste 340
Commerce City, CO 80022
Phone (303) 467-2624

1485 Florida Rd
Ste 203C
Durango, CO 81301
Phone (970) 247-9415

1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524

1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268

360 Peak One Dr
#110D
Frisco, CO 80443
Phone (303) 867-5309

360 Peak One Dr
Ste 110
Frisco, CO 80443
Phone (970) 668-3478

17301 W Colfax Ave
Ste 275
Golden, CO 80401
Phone (303) 681-1894

2478 Patterson Rd
Ste 18
Grand Junction, CO 81505
Phone (970) 644-5303

8223 W 20th St
Ste 100A
Greeley, CO 80634
Phone (970) 702-2705

304 W Tomichi Ave
Ste 23
Gunnison, CO 81230
Phone (970) 644-5303

313 W 3rd St
Ste 200
La Junta, CO 81050
Phone (209) 309-1885

8015 W Alameda Ave
Ste 260
Lakewood, CO 80226
Phone (303) 744-3477

11000 County Road GG.5
Las Animas, CO 81054
Phone (719) 456-2600

1308 Vivian St
Longmont, CO 80501
Phone (303) 682-9197

1640 Topaz Dr
Loveland, CO 80537
Phone (720) 326-9317

11172 Huron St
Ste 20
Northglenn, CO 80234
Phone (303) 568-9694

1249 E Routt Ave
Pueblo, CO 81004
Phone (720) 808-0051

710 Hunter Dr
Pueblo, CO 81001
Phone (719) 225-8246

3460 S Federal Blvd
Sheridan, CO 80110
Phone (303) 761-0200

1306 Lincoln Ave
Unit D
Steamboat Springs, CO 80487
Phone (970) 761-2207

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1295384766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 N SHIELDS ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E ELIZABETH ST STE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244044",
            "telephone_number": "970-493-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECZKO",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.