Active NPI
Eric Becker, PA-C
- Physician Assistant
- Sterling, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004611
- Practice address
- 615 Fairhurst St
Sterling, CO 80751-4523 - Phone
- (970) 522-0122
- NPI assigned
- Feb 4, 2010
- Last updated
- Apr 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11506 | MN | |
| Physician Assistant | 363A00000X | PA1200 | ME | |
| Physician Assistant | 363A00000X | PA.0004611 | CO | Primary |
Addresses
Primary practice location
615 Fairhurst St
Sterling, CO 80751-4523
Mailing address
615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 522-0122
Other practice location 1
1995 E. Platte Ave
Fort Morgan, CO 80701
Phone (970) 427-3130
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004611 | CO | MD | Physician Assistant |
| 11506 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Solutions Glendale, P.C. | Current | Accepting new patients | |
| Sterling Regional Medcenter | Current | Accepting new patients | |
| Horizons Health Services | Past | Accepting new patients | |
| MH Health Care Services, PC | Past | Accepting new patients | |
| East Morgan County Hospital | Past | Accepting new patients |
Locations
3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000
777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000
615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322
Interoperability endpoints
- eric.becker.1@14940.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Sterling, CO
- NPI 1942238555
-
dba Doctors Express Cherrycreek
- Urgent Care Clinic/Center
- Denver, CO
- NPI 1336491075
-
- Critical Access Hospital
- Brush, CO
- NPI 1699708743
-
- Nurse Practitioner
- Fort Morgan, CO
- NPI 1598125262
-
- Health Service Clinic/Center
- Presque Isle, ME
- NPI 1356676977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1376875138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 FAIRHURST ST",
"city": "STERLING",
"state": "CO",
"postal_code": "807514523",
"telephone_number": "970-522-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 FAIRHURST ST",
"city": "STERLING",
"state": "CO",
"postal_code": "807514523",
"telephone_number": "970-522-0122"
}
],
"practiceLocations": [
{
"address_1": "1995 E. Platte Ave",
"address_purpose": "LOCATION",
"city": "Fort Morgan",
"state": "CO",
"postal_code": "80701",
"country_code": "US",
"telephone_number": "970-427-3130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-04",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11506",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA1200",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.