Individual provider Active NPI

Karissa Anne Sampson, PA

  • Physician Assistant
  • Longmont, CO
National Provider Identifier
1316446164
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1950 Mountain View Ave
Longmont, CO 80501-9865
Phone
(303) 651-5111
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 Primary

Addresses

Primary practice location

1950 Mountain View Ave
Longmont, CO 80501-9865

Mailing address

1950 Mountain View Ave
Longmont, CO 80501-3129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180524001923 CO Practitioner - Physician Assistant 9830454768 Reassigns benefits to 4 organizations
I20240523002155 NV Practitioner - Physician Assistant 9830454768 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers, Inc Family Medicine CurrentSince Mar 6, 2024 Accepting new patients
Usacs of Colorado Inc CurrentSince Nov 1, 2020 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Premier Emergency Services, Inc CurrentSince Dec 22, 2020 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jan 1, 2021 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Usacs of Colorado Inc CurrentSince Nov 1, 2020 Accepting new patients
Nevada Health Centers Inc Past Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

762 14th St
Elko, NV 89801
Phone (775) 738-5850

2212 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 220-9908

Interoperability endpoints

  • Direct secure messaging: karissa.sampson.p1@direct.nevadahealthcenters.nextgenshare.com
  • Direct secure messaging: ksampson695139@direct.ochin.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1316446164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019865",
            "telephone_number": "303-651-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "KARISSA",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.