Active NPI
Emma Jean Shay
- Physician Assistant
- Longmont, CO
National Provider Identifier
1356593610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0002583
- Practice address
- 1950 Mountain View Ave
Longmont, CO 80501-3129 - Phone
- (303) 651-5000
- Fax
- (303) 306-7753
- NPI assigned
- Oct 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0002583 | CO | Primary |
| Medical Physician Assistant | 363AM0700X | 2583 | CO |
Addresses
Primary practice location
1950 Mountain View Ave
Longmont, CO 80501-3129
Mailing address
PO Box 1175
Englewood, CO 80150-1175
Phone (303) 306-7783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A001030353 | Medicaid | CO | |
| 99721066 | Medicaid | CA |
Other names 1
- Emma Jean Shay
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.04 of 100
- Quality
- 87.35
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0002583 | CO | MD | Physician Assistant |
| 2583 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Service Physicians, Inc. | Current | Accepting new patients | |
| Emergency Physicians of the Rockies, PC | Current | Accepting new patients | |
| Longs Peak Emergency Physicians, PC | Past | Accepting new patients | |
| North Colorado Emergency Physicians, PC | Past | Accepting new patients |
Locations
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015
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.
-
- Emergency Medicine Physician
- Fort Collins, CO
- NPI 1174570717
-
- Emergency Medicine Physician
- Wheat Ridge, CO
- NPI 1326097668
-
- Emergency Medicine Physician
- Aurora, CO
- NPI 1548895048
-
- Emergency Medicine Physician
- Longmont, CO
- NPI 1215910146
-
- Specialist
- Greeley, CO
- NPI 1568498905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1356593610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1175",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801501175",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"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": "805013129",
"telephone_number": "303-651-5000",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAY",
"first_name": "EMMA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0002583",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "2583",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A001030353",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99721066",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "SHAY",
"middle_name": "JEAN",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.