Individual provider Active NPI

Julie Archibald, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1316375157
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003812 Issued in CO
Practice address
1601 E 19TH Ave
Ste 3300
Denver, CO 80218-1216
Phone
(303) 837-0072
Fax
(303) 837-0075
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 PA.0003812 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave
Ste 3300
Denver, CO 80218-1216

Mailing address

4900 S Monaco St
Ste 210
Denver, CO 80237-3486
Phone (303) 837-0072

Other identifiers 1

IdentifierTypeStateIssuer
08151571MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JULIE.ARCHIBALD@hca3.eclinicaldirectplus.com

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
I20141204000470 CO Practitioner - Physician Assistant 7416279328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services Orthopedic Specialists LLCGroup PAC ID 5799972725, 81 clinicians

Practice addresses (Care Compare)

1601 E 19TH Ave
Suite 3300
Denver, CO 80218-1239
Phone (303) 837-0072

1719 E 19TH Ave
Presbyterian St Lukes Medical Center
Denver, CO 80218-1235
Phone (303) 836-9600

701 E Hampden Ave
515 Mountain Orthopedic Trauma Surgeons at
Englewood, CO 80113-2736
Phone (303) 209-2503

Hospital & facility affiliations

  • HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0003812COMDPhysician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1316375157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-837-0072",
            "fax_number": "303-837-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "STE 3300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-837-0072",
            "fax_number": "303-837-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "JULIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2022-02-01",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08151571",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JULIE.ARCHIBALD@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1601 E 19th Ave",
            "address_2": "STE 3300",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.