Cynthia Myers Bjerstedt, P.A.-C.

Individual provider Active NPI Physician Assistant · Parachute, CO

NPI 1316023732 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1316023732
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
50000912 (OH)
Practice address
201 Sipperelle Dr.
Parachute, CO 81635
Phone
(970) 285-5731
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand River Hospital District (79 clinicians)

Practice addresses (Care Compare)

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462

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 IDStateProvider typePAC IDDetails
I20160122000119 CO Practitioner - Physician Assistant 0143523373 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50000912OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grand River Hospital District Current
since Nov 21, 2015
Accepting new patients
Grand River Hospital District Current
since Nov 21, 2015
Accepting new patients

Locations

201 Sipprelle Dr
Parachute, CO 81635
Phone (970) 285-5731

501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50000912 OH Yes

Addresses

Primary practice location

201 Sipperelle Dr.
Parachute, CO 81635

Mailing address

201 Sipperelle Dr.
Parachute, CO 81635
Phone (970) 285-5731

Other providers in Parachute, CO

All providers in Parachute, CO · Physician Assistant in Colorado

Sources for this page

Verify at the official NPI Registry.