Individual provider Active NPI

Joanna Baskett, PA

  • Physician Assistant
  • Louisville, CO
National Provider Identifier
1366492100
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1522 Issued in CO
Practice address
1056 S 88TH St
Louisville, CO 80027-9460
Phone
(303) 442-6647
Fax
(303) 442-2696
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 1522 CO Primary

Addresses

Primary practice location

1056 S 88TH St
Louisville, CO 80027-9460

Mailing address

1056 S 88TH St
Louisville, CO 80027-9460
Phone (303) 442-6647

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
I20050915000370 CO Practitioner - Physician Assistant 9335172865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Boulder PCGroup PAC ID 3678668761, 13 clinicians

Practice addresses (Care Compare)

36 S 18TH Ave
Suite H
Brighton, CO 80601-2412
Phone (303) 442-6647

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1522COMDOptometrist

Organizations & group practices 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1366492100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279460",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279460",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKETT",
        "first_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.