Individual provider Active NPI

Kaitlin Alexandra Womeldorf, PA-C

  • Physician Assistant
  • Falcon, CO
National Provider Identifier
1316528706
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007428 Issued in CO
Practice address
11605 Meridian Market VW Ste 184
Falcon, CO 80831-8238
Phone
(719) 364-9560
Fax
(719) 364-7680
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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.0007428 CO Primary

Addresses

Primary practice location

11605 Meridian Market VW Ste 184
Falcon, CO 80831-8238

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4333

Other practice location 1

13445 Voyager Pkwy
Colorado Springs, CO 80921-7648
Phone (719) 365-3220

Other practice location 2

4323 Integrity Center Pt
Colorado Springs, CO 80917-1683
Phone (719) 591-2558

Other practice location 3

2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 365-2888

Other practice location 4

1035 Garden Of The Gods Rd Ste 120
Colorado Springs, CO 80907-3416
Phone (719) 365-3200

Other practice location 5

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5221

Other identifiers 1

IdentifierTypeStateIssuer
9000208414MedicaidCO

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
I20220914002402 CO Practitioner - Physician Assistant 7618352493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

11605 Meridian Market VW
Falcon, CO 80831-8237
Phone (719) 364-9555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as group
Quality
94.16
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Mar 9, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 9, 2026 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Sep 1, 2022 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

3790 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 264-5080

5623 Pulpit Peak Vw
Colorado Springs, CO 80918
Phone (719) 272-3600

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

13510 Meadowgrass Dr
Colorado Springs, CO 80921
Phone (719) 364-7010

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2770 N Powers Blvd
Colorado Springs, CO 80922
Phone (719) 638-3000

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

11605 Meridian Market Vw
Ste 184UCHMG
Falcon, CO 80831
Phone (719) 364-9555

7890 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 390-2680

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

16420 W US Highway 24
Woodland Park, CO 80863
Phone (719) 632-5020

Organizations & group practices 5

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1316528706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4333",
            "fax_number": "970-490-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MERIDIAN MARKET VW STE 184",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318238",
            "telephone_number": "719-364-9560",
            "fax_number": "719-364-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13445 Voyager Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809217648",
            "country_code": "US",
            "telephone_number": "719-365-3220",
            "fax_number": "719-219-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Integrity Center Pt",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809171683",
            "country_code": "US",
            "telephone_number": "719-591-2558",
            "fax_number": "719-591-2596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2767 Janitell Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064102",
            "country_code": "US",
            "telephone_number": "719-365-2888",
            "fax_number": "719-365-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Garden Of The Gods Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809073416",
            "country_code": "US",
            "telephone_number": "719-365-3200",
            "fax_number": "719-365-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMELDORF",
        "first_name": "KAITLIN",
        "middle_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000208414",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon, CO

Sources for this page

Verify at the official NPI Registry.