NPIMap

Individual provider Active NPI

Roxanne Merle Slayden, PA-C

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1336441013
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3126 Issued in CO
Practice address
1107 S Lemay Ave
Suite 300
Fort Collins, CO 80524-3955
Phone
(970) 493-7442
Fax
(970) 493-2990
NPI assigned
Dec 1, 2010
Last updated
May 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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 3126 CO Primary

Addresses

Primary practice location

1107 S Lemay Ave
Suite 300
Fort Collins, CO 80524-3955

Mailing address

1107 S Lemay Ave
Suite 300
Fort Collins, CO 80524-3955
Phone (970) 493-7442

Other names 1

  • Roxanne Merle Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000829 CO Practitioner - Physician Assistant 2668654120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fort Collins Womens Clinic PCGroup PAC ID 3971492711, 33 clinicians

Practice addresses (Care Compare)

1107 S Lemay Ave
Fort Collins, CO 80524-3955
Phone (970) 493-7442

2500 Rocky Mountain Ave
Loveland, CO 80538-9004
Phone (970) 493-7442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.85 of 100Reported as group
Quality
66.46
Improvement activities
40
Cost
71.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3126COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Collins Women's Clinic, P.C. CurrentSince Jan 25, 2011 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

1107 S Lemay Ave
Ste 300
Fort Collins, CO 80524
Phone (970) 493-7442

2500 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 493-7442

Interoperability endpoints

  • Direct secure messaging: roxanne.slaydenpa.p1@direct.thewomensclinic.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1336441013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S LEMAY AVE",
            "address_2": "SUITE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243955",
            "telephone_number": "970-493-7442",
            "fax_number": "970-493-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S LEMAY AVE",
            "address_2": "SUITE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243955",
            "telephone_number": "970-493-7442",
            "fax_number": "970-493-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYDEN",
        "first_name": "ROXANNE",
        "middle_name": "MERLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "WILSON",
            "middle_name": "MERLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.