Individual provider Active NPI

Liset Vargas

  • Surgical Physician Assistant
  • Denver, CO
National Provider Identifier
1356960397
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0007213 Issued in CO
Practice address
2525 S Downing St
Denver, CO 80210-5817
Phone
(303) 778-1955
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0007213 CO
Surgical Physician Assistant 363AS0400X PA.0007213 CO Primary

Addresses

Primary practice location

2525 S Downing St
Denver, CO 80210-5817

Mailing address

2535 S Downing St Ste 100
Denver, CO 80210-5848
Phone (205) 241-3677

Other practice location 1

535 E 70th St
New York, NY 10021-4898
Phone (212) 606-1000

Other practice location 2

570 Lexington Ave
New York, NY 10022-6837
Phone (646) 962-7277

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lvargas116523@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 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
I20220704000066 CO Practitioner - Physician Assistant 9133518418 Reassigns benefits to 2 organizations
I20230623002124 WY Practitioner - Physician Assistant 9133518418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLC 2,425 clinicians
Portercare Adventist Health System 770 clinicians

Practice addresses (Care Compare)

175 S Union Blvd
Suite 125
Colorado Springs, CO 80910-3147
Phone (719) 365-1950

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5848
Phone (720) 524-1367

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

Hospital & facility affiliations

  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0007213COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Feb 9, 2026 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince May 26, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 9, 2026 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2022 Accepting new patients

Locations

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

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

175 S Union Blvd
Ste 125
Colorado Springs, CO 80910

3843 Rio Vista Dr
Ste 1200
Colorado Springs, CO 80917

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

2535 S Downing St
Ste 100
Denver, CO 80210
Phone (720) 524-1367

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

4028 Laramie St
Cheyenne, WY 82001
Phone (307) 635-2562

Interoperability endpoints

  • Direct secure messaging: lvargas116523@direct.hss.edu
  • Direct secure messaging: lvargas1829398@adventhealth.direct-ci.com

Organizations & group practices 16

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 16

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1356960397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 S DOWNING ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105848",
            "telephone_number": "205-241-3677",
            "fax_number": "720-524-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105817",
            "telephone_number": "303-778-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E 70th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214898",
            "country_code": "US",
            "telephone_number": "212-606-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100226837",
            "country_code": "US",
            "telephone_number": "646-962-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "LISET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007213",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0007213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvargas116523@direct.HSS.edu",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "Current FHIR URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.