Individual provider Active NPI

Heather Farmer, PAC

  • Medical Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1316909567
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PAL1916 Issued in CO
Practice address
2570 Patterson Rd
Grand Junction, CO 81505-1438
Phone
(970) 298-6601
Fax
(970) 298-6641
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PAL1916 CO Primary

Addresses

Primary practice location

2570 Patterson Rd
Grand Junction, CO 81505-1438

Mailing address

2503 Foresight Cir
Grand Junction, CO 81505-1139
Phone (970) 242-2660

Other identifiers 3

IdentifierTypeStateIssuer
P00119102OtherCORAIL ROAD MEDICARE
CH667362OtherCOBLUE CROSS BLUE SHIELD
74307274MedicaidCO

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
I20040602000568 CO Practitioner - Physician Assistant 6901888270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mid West Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Colorado LLCGroup PAC ID 2860879368, 19 clinicians

Practice addresses (Care Compare)

995 Independent Ave
Grand Junction, CO 81505-7130
Phone (970) 609-2001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PAL1916COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Colorado LLC CurrentSince Sep 15, 2025 Accepting new patients
Bloom Colorado LLC Current Accepting new patients

Locations

995 Independent Ave
Grand Junction, CO 81505
Phone (970) 609-2001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1316909567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 FORESIGHT CIR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051139",
            "telephone_number": "970-242-2660",
            "fax_number": "970-242-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 PATTERSON RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051438",
            "telephone_number": "970-298-6601",
            "fax_number": "970-298-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "HEATHER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PAL1916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00119102",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CH667362",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74307274",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.