Evan Alexandra Glover, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005650 Issued in CO

Practice address

1435 Garrison St Ste 110
Lakewood, CO 80215-4748

Phone

(720) 241-3765

Fax

(720) 310-7216

NPI assigned

Dec 4, 2018

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Colorado Provider Network LLCGroup PAC ID 7315356474, 5 clinicians

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Colorado Provider Network LLC

  • Adult Medicine Physician
  • Lakewood, CO
  • NPI 1649851155
  Medicare reassignment Care Compare group
• Colorado Provider Network LLC

  dba Achieve Health

  • Adult Medicine Physician
  • Lakewood, CO
  • NPI 1114602596
  NPD
• Potomac Square Family Medicine, LLC

  • Primary Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1992446405
  NPD
• Rocky Mountain Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1710628219
  NPD

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1366912230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17507 W 61ST LN",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "804037456",
            "telephone_number": "207-218-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GARRISON ST STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154748",
            "telephone_number": "720-241-3765",
            "fax_number": "720-310-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "EVAN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "5650",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Glaze, RBT
• Erin Gleason
• Alexandra Glisson
• Samantha Faye Glosser, SLP, MS
• Emily Isabel Glover
• Richard A Glucksman, DDS
• GN Hearing Dba Beltone
• Go Chiropractic (Belmar Chiropractic)
• Go Vasectomy LLC
• Goat Counseling Services P.L.L.C.

• Physician Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.

Verify at the official NPI Registry.