Avery Leigh Soderberg, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.0007113 Issued in CO

Practice address

1400 Jackson St
Denver, CO 80206-2761

Phone

(303) 388-4461

Fax

(303) 398-1211

NPI assigned

Nov 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Avery Leigh Bell Former name

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Rocky Vista University College of Osteopathic Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associates of Otolaryngology, P.C.Group PAC ID 1557258340, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Healthone Rose Hospital, Denver, CO, CCN 060032

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

69.37

Promoting interoperability

100

Improvement activities

40

Cost

65.17

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Associates of Otolaryngology, P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Denver, CO
  • NPI 1518184399
  Medicare reassignment Care Compare group NPD
• Associates of Otolaryngology, P.C.

  • Specialist
  • Castle Rock, CO
  • NPI 1144816679
  NPD

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

• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1023062098
  Care Compare affiliation

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1295492064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 HARVARD LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801303773",
            "telephone_number": "720-217-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062761",
            "telephone_number": "303-388-4461",
            "fax_number": "303-398-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6233 Harvard Ln",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801303773",
            "country_code": "US",
            "telephone_number": "720-217-5694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODERBERG",
        "first_name": "AVERY",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0007113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NJHealth@njc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1400 Jackson St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802062761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "BELL",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sobriety House, Inc.
• Joseph Alexander Sochet, DO, JD
• Social Care LLC
• Sodak Transportation LLC
• Sodak Transportation LLC
• Erika Soderholm
• Emily Alicia Soeder-Suarez, MD
• Rachael Lauren Soellner
• William Soffa
• Patricia Soffer, MD

• Medical Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.