Diane Rachel Friedman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0004661 Issued in CO

Practice address

350 Interlocken Blvd Ste 250
Broomfield, CO 80021-8017

Phone

(720) 724-3668

NPI assigned

Apr 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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

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.

• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Denver, CO
  • NPI 1144707878

  CO

  Medicare reassignment Care Compare group
• Creekside Physical Medicine PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Boulder, CO
  • NPI 1578601969

  CO

  Medicare reassignment
• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Broomfield, CO
  • NPI 1396577177
  NPD
• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Lakewood, CO
  • NPI 1073271466
  NPD (past)
• Denver Wellness Associates

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1851177588
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Denver Wellness Associates 50 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1306233382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 RIVER WALK LN",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805047367",
            "telephone_number": "720-724-3668",
            "fax_number": "720-598-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 INTERLOCKEN BLVD STE 250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218017",
            "telephone_number": "720-724-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "DIANE",
        "middle_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0004661",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0004661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09222006",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Frantz
• Casey L Frederick, RDN, LD
• Alyssa M Fredricks, PH.D.
• Nathan Freemyer
• Lori Lee Frey, LPC
• Madeline Friedrichs
• Celeste M Friend, MS, RDN
• Hannah Froehlich
• Front Range Eye Associates, PC
• Heather Lynn Frostman, LPCC

• All providers in Broomfield, CO
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.