Individual provider Active NPI

Trevor Fleischmann, PA-C

  • Medical Physician Assistant
  • Lafayette, CO
National Provider Identifier
1295394641
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0007874 Issued in CO
Practice address
1140 W South Boulder Rd Ste 202
Lafayette, CO 80026-8910
Phone
(303) 604-1444
Fax
(303) 666-0911
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0007874 CO Primary

Addresses

Primary practice location

1140 W South Boulder Rd Ste 202
Lafayette, CO 80026-8910

Mailing address

1140 W South Boulder Rd Ste 202
Lafayette, CO 80026-8910
Phone (303) 604-1444

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
I20231115000286 CO Practitioner - Physician Assistant 8123358108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.43 of 100Reported as group
Quality
89.17
Promoting interoperability
100
Improvement activities
40
Cost
72.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4530CTMDProfessional Counselor
PA.0007874COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Center for Dermatology LLC PastSince Nov 12, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2831/brand/1/csg/1/fhir/r4
  • Direct secure messaging: trevor.fleischmann@xdr.hhchealthdirect.org

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1295394641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W SOUTH BOULDER RD STE 202",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268910",
            "telephone_number": "303-604-1444",
            "fax_number": "303-666-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W SOUTH BOULDER RD STE 202",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268910",
            "telephone_number": "303-604-1444",
            "fax_number": "303-666-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHMANN",
        "first_name": "TREVOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0007874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.